Individual
KATHLEEN WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
529 CORNWALL DR, GALLOWAY, NJ 08205-3254
(609) 457-5462
Mailing address
529 CORNWALL DR, GALLOWAY, NJ 08205-3254
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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