Individual
MEREDITH WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1616 N LITCHFIELD RD, SUITE 115, GOODYEAR, AZ 85395-1252
(623) 935-0734
(623) 935-0934
Mailing address
PO BOX 4570, SCOTTSDALE, AZ 85261-4570
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11201
AZ
225100000X
Physical Therapist
5501016446
MI
Other
Enumeration date
08/23/2013
Last updated
04/20/2015
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