KRISTEN NICOLE WALLS

HERNANDO, MS
NPI1427497627
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MS  OT2815)
Enumeration Date2013-06-20
Last Update Date2013-06-20
Business Address
-- KRISTEN NICOLE WALLS OT
190 W SOUTH ST
HERNANDO, MS 38632-2245
Phone number: 662-298-0066
Mailing Address
-- KRISTEN NICOLE WALLS OT
2284 FOGG RD
NESBIT, MS 38651-7409
Phone number: 662-404-0425