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Organization
WELL PELVIC HEALTH AND PHYSICAL THERAPY LLC
Active
Organization
WELL PELVIC HEALTH AND PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURALEE WESSINGER WALLACE PT (PHYSICAL THERAPIST, OWNER)
(530) 340-1490
Entity
Organization
Contact information
Practice address
202 LAWRENCE LN, YREKA, CA 96097-3341
(530) 572-1566
(153) 028-5220
Mailing address
11239 BALL MTN LITTLE SHASTA RD, MONTAGUE, CA 96064-9682
(530) 340-1490
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2024
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