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Individual

JAMES RYAN WALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1211 S GLOSTER ST STE C, TUPELO, MS 38801-6548
(662) 432-1523
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 206-4158

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7109
MS

Other

Enumeration date
06/22/2021
Last updated
05/04/2022
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