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Individual

DR. CARLEE LOUISA FAYETH WALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
2835 S HIGHWAY 27 STE 286B, SOMERSET, KY 42501-3062
(606) 302-2831
Mailing address
2835 S HIGHWAY 27 STE 286B, SOMERSET, KY 42501-3062
(606) 302-2831

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008623
KY

Other

Enumeration date
08/09/2022
Last updated
08/09/2022
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