Search › Pennsylvania › 225X00000X
John Wall, MSOTR'L
NPI 1154441137 · on the registry since 2007 · sole proprietor
Practice
- Address
- 2 Bon Aire Ter
Pittston, PA 18640 - Phone
- (570) 983-9173
- Fax
- (570) 655-4706
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 Pennsylvania