KEVIN WALL

MARYVILLE, TN
NPI1710135199
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TN  2300)
Enumeration Date2008-08-28
Last Update Date2008-08-28
Business Address
Mr. KEVIN WALL LPTA
307 N 5TH ST
MARYVILLE, TN 37804-2921
Phone number: 865-983-0261
Mailing Address
Mr. KEVIN WALL LPTA
307 N 5TH ST
MARYVILLE, TN 37804-2921
Phone number: 865-983-0261
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