Individual
MRS. KATHY WRIGHT WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
1352 MATTHEWS TOWNSHIP PARKWAY, UNIT 102, MATTHEWS, NC 28105
(704) 847-6351
(704) 849-2826
Mailing address
1352 MATTHEWS TOWNSHIP PARKWAY, UNIT 102, MATTHEWS, NC 28105
(704) 847-6351
(704) 849-2826
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT1370
NC
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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