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Individual

SHARON DENICE WALLACE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3909 COVINGTON PIKE, MEMPHIS, TN 38135-2281
(901) 377-1011
(901) 226-0463
Mailing address
3909 COVINGTON PIKE, MEMPHIS, TN 38135-2281
(901) 377-1011
(901) 226-0463

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0000000663
TN

Other

Enumeration date
08/27/2008
Last updated
08/27/2008
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