Individual
ELIZABETH WALLENQUEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
400 CELEBRATION PL STE C200, CELEBRATION, FL 34747-4970
(407) 303-4003
Mailing address
400 CELEBRATION PL STE C200, CELEBRATION, FL 34747-4970
(407) 303-4003
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT40482
FL
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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