NPI | 1083200877 |
---|---|
Former Name | ALLISON WALLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH13346) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 34718) |
111N00000X Chiropractor (Licence: IN 08003165A) | |
Enumeration Date | 2020-12-15 |
Last Update Date | 2025-04-25 |