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Contact Information

GEORGE T WALLS III
7600 AUTUMN PARK WAY
MECHANICSVILLE, VA23116-3868
 Phone: 804-730-0009
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
 

Environmental Modification

225XE0001X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for GEORGE T WALLS III · (Male)

NPI # 1588247373
Status Active
Credentials
Entity Individual
Enumeration date 04/30/2021
Last updated 04/30/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0131000254
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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