Individual
RORI WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1621 EASTRIDGE DR APT 302, ANCHORAGE, AK 99501-5763
(719) 322-5882
Mailing address
1621 EASTRIDGE DR APT 302, ANCHORAGE, AK 99501-5763
(719) 322-5882
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0013369
CO
Other
Enumeration date
08/20/2015
Last updated
03/25/2019
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