Individual
HALEY ELIZABETH WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
2300 GEORGE DIETER DR, EL PASO, TX 79936-3963
(915) 213-0653
Mailing address
2011 BROADWAY ST STE 130, PEARLAND, TX 77581-5945
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
124455
TX
Other
Enumeration date
10/20/2023
Last updated
04/11/2024
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