| Andre Walls Sr, LMT | |
|
974 47th St Apt D3, Brooklyn, NY 11219-2808 | |
| (347) 398-7981 | |
| Not Available |
| Full Name | Andre Walls Sr |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 974 47th St Apt D3, Brooklyn, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396080636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 024063 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Andre Walls Sr, LMT 974 47th St Apt D3, Brooklyn, NY 11219-2808 Ph: (347) 398-7981 | Andre Walls Sr, LMT 974 47th St Apt D3, Brooklyn, NY 11219-2808 Ph: (347) 398-7981 |
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