SearchUtah174400000X

Judy Wall, PTA

NPI 1750795423 · on the registry since 2014 · sole proprietor

Practice

Address
4425 S Camille St
Salt Lake City, UT 84124
Phone
(954) 336-4183

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-06-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah