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Individual

BRITTA WALLACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, CLT-LANA

Contact information

Practice address
3421 VILLA LN STE 1A, NAPA, CA 94558-3060
(707) 257-4089
Mailing address
3421 VILLA LN STE 1A, NAPA, CA 94558-3060
(707) 257-4089

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT14436
CA

Other

Enumeration date
10/02/2017
Last updated
10/02/2017
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