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Individual

KATHERINE ANN WALLACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
5901 ROOSEVELT WAY NE, SUITE B, SEATTLE, WA 98105-2754
(206) 527-2800
(206) 526-5394
Mailing address
1814 NE 70TH ST, SEATTLE, WA 98115-5754
(206) 527-2856
(206) 527-2888

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2186
WA

Other

Enumeration date
01/04/2007
Last updated
07/08/2007
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