Individual
KASSY ARLENE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
8872 PROFESSIONAL DR STE C, CADILLAC, MI 49601-8482
(231) 876-0010
(231) 876-0241
Mailing address
8872 PROFESSIONAL DR STE C, CADILLAC, MI 49601-8482
(231) 876-0010
(231) 876-0241
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5501301778
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/21/2021
Last updated
08/18/2022
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