Individual
DR. CAMILLE N WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1130 W WOODMEN RD, COLORADO SPRINGS, CO 80919-2726
(719) 574-5562
Mailing address
1315 YOSEMITE DR, COLORADO SPRINGS, CO 80910-2044
(620) 875-0389
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0007644
CO
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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