Most Relevant Information
Provider Data
| NPI Number: | 1003383696 |
| Provider Name: | CHRISTOPHER M WALL PT, DPT, OCS, CSCS |
| Entity Type: | Individual |
| Taxonomy Code: | 2251X0800X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/01/2018 |
| Last Updated: | 11/01/2018 |
Provider Practice Location
3430 BURNET AVE # 4007
CINCINNATI
OH
452292833
Practice Location Phone/Fax
| Phone: | 5138039355 |
| Fax: |
Provider Mailing Location
3430 BURNET AVE # 4007
CINCINNATI
OH
452292833
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |