Individual
KARLEN MARIE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6025 N ASSEMBLY ST, SPOKANE, WA 99205-7674
(509) 326-8282
Mailing address
13005 W PACIFIC AVE, AIRWAY HEIGHTS, WA 99001-5291
(304) 231-4162
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60707760
WA
Other
Enumeration date
08/02/2017
Last updated
10/04/2023
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