Individual
LINDSEY AVERY WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
406 CENTRAL AVE S, QUINCY, WA 98848-1226
(208) 596-6929
Mailing address
402 Q ST SW, QUINCY, WA 98848-7802
(208) 596-6929
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.61256288
WA
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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