Organization
WALLACE THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRELL K BAILEY MS CCC/SLP (PRESIDENT)
(502) 442-4005
Entity
Organization
Contact information
Practice address
9912 SPRING RIDGE DR, LOUISVILLE, KY 40223-2877
(502) 442-4005
(502) 742-4469
Mailing address
9912 SPRING RIDGE DR, LOUISVILLE, KY 40223-2877
(502) 442-4005
(502) 742-4469
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
KY
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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