RICHARD WALL

BELLEVUE, WA
NPI1508058991
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: WA  PS00000395)
Additional Taxonomies222Z00000X Orthotist
(Licence: WA  OI00000394)
Enumeration Date2007-08-09
Last Update Date2009-09-25
Business Address
-- RICHARD WALL CPO
1900 116TH AVE NE SUITE 210
BELLEVUE, WA 98004-3052
Phone number: 425-451-8831
Mailing Address
-- RICHARD WALL CPO
1900 116TH AVE NE SUITE 210
BELLEVUE, WA 98004-3052
Phone number: 425-451-8831
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