MATTHEW LEE WALL

EMORY, VA
NPI1811723810
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA  0126004153)
Enumeration Date2024-09-09
Last Update Date2024-09-09
Business Address
MATTHEW LEE WALL MSAT, ATC, LAT
30461 GARNAND DR
EMORY, VA 24327
Phone number: 276-944-6835
Mailing Address
MATTHEW LEE WALL MSAT, ATC, LAT
30461 GARNAND DR
EMORY, VA 24327-2500
Phone number:
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