Timothy E Wall, AT
Timothy E Wall, AT is an Athletic Trainer in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2006.
- Licensed in
- FL
- In the registry since
- 2006
Practice location Address checks out
1325 San Marco Blvd #102Jacksonville, FL 32207-8568
Phone: (904) 858-7045
Fax: (904) 858-7047
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Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence AL351 (FL) |
|---|
Record details
| NPI number | 1346263969 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | AT |
| Sole proprietor | No |
| NPI enumerated | July 25, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 1325 San Marco Blvd, Suite 701, Jacksonville, FL 32207-8568 |
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