Individual
JOCELYN DIANE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1830 RADIUS DR APT 910, HOLLYWOOD, FL 33020-7716
(813) 407-9004
Mailing address
1830 RADIUS DR APT 910, HOLLYWOOD, FL 33020-7716
(813) 407-9004
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
FL
Other
Enumeration date
07/26/2017
Last updated
01/27/2020
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