Laura Cadle Wall
Occupational Therapist - Pediatrics
444 Park West Dr.
Grovetown
, Georgia 30809
Laura Cadle Wall
Occupational Therapist - Pediatrics
444 Park West Dr.
Grovetown
, Georgia 30809
(706) 651-9064
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About
Features
Specialties
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Laura Cadle Wall
- 5003 Farmstone Ct
- Evans, GA
- Zip : 30809-6074
- Phone : (706) 651-9064
Second Address
- Laura Cadle Wall
- 444 Park West Dr.
- Grovetown, GA
- Zip : 30809
- Phone : (706) 868-6543
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0200X | Occupational Therapist - Pediatrics | OT003594 | GA |
National Provider Identifier
| NPI | 1033286679 |
|---|---|
| Provider Name | Laura Cadle Wall |
| First Address | Evans, GA 30809-6074 |
| Second Address | Grovetown, GA 30809 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/11/2006 |
| Last Update Date | 09/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.