Individual provider · Type 1 NPI
Joshua Wall Iii, ATC, LAT
Student in an Organized Health Care Education/Training Program · Gainesville, FL
Practice location
1900 NW 13th St
Gainesville, FL 32609-3411
Mailing address
1015 NW 21st Ave Apt 127
Gainesville, FL 32609-3448
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | AL 3641 (FL) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1104234145
Joshua Wall Iii, ATC, LAT's National Provider Identifier is 1104234145, issued on Jul 22, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gainesville, FL. The record was last updated on Jul 22, 2014.