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Individual

NATASHA N WALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1020 N CONGRESS ST, YORK, SC 29745-1351
(803) 684-0183
Mailing address
1020 N CONGRESS ST, YORK, SC 29745-1351
(803) 684-0183

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10672
NC
225100000X
Physical Therapist
Primary
7488
SC

Other

Enumeration date
10/12/2006
Last updated
10/25/2016
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