LAURA CADLE WALL

GROVETOWN, GA
NPI1033286679
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: GA  OT003594)
Enumeration Date2006-11-29
Last Update Date2007-07-09
Business Address
-- LAURA CADLE WALL OT
444 PARK WEST DR.
GROVETOWN, GA 30809
Phone number: 706-868-6543
Mailing Address
-- LAURA CADLE WALL OT
5003 FARMSTONE CT
EVANS, GA 30809-6074
Phone number: 706-651-9064