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Thomas A Wall, MSPT
Specialist in Bogalusa, Louisiana
NPI 1578684213

Thomas A Wall is a Specialist based in Bogalusa, LA. Thomas A Wall practices in Bogalusa, LA and has the professional credentials of MSPT. The NPI Number for Thomas A Wall is 1578684213 and holds a License No. (Louisiana).

The current practice location address for Thomas A Wall is 1616 S Columbia St, Bogalusa, LA and can be reached out via phone at 985-735-3080 and via fax at 985-735-7031.

Location: 1616 S Columbia St, Bogalusa, LA, 70427-5880
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578684213
Provider Name
Thomas A Wall
Credential
MSPT
Provider Entity Type
Individual
Gender
Male
Address
1616 S Columbia St, Bogalusa, LA, 70427-5880
Phone Number
985-735-3080
Fax Number
985-735-7031
Provider Enumeration Date
04/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1471640 05 LA
institution
Provider Business Practice Location Address Details
Address
1616 S Columbia St
City
Bogalusa
State
Louisiana
Zip
70427-5880
Phone Number
985-735-3080
Fax Number
985-735-7031
person
Provider Business Mailing Address Details
Address
1616 S Columbia St
City
Bogalusa
State
Louisiana
Zip
70427-5880
Phone Number
985-735-3080
Fax Number
985-735-7031
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(Louisiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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