ELLIS B WALL

MOORESVILLE, NC
NPI1578189270
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NC  P19348)
Enumeration Date2020-06-19
Last Update Date2020-06-19
Business Address
ELLIS B WALL
136 CORPORATE PARK DR
MOORESVILLE, NC 28117-6959
Phone number: 919-449-7954
Mailing Address
ELLIS B WALL
13545 KINTYRE CT
MATTHEWS, NC 28105-3032
Phone number: 919-449-7954
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