Individual
MRS. KAREN CHANDLER WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
10 GROVE STREET, SAXTONS RIVER, VT 05154-0174
(802) 869-2196
Mailing address
PO BOX 174, 10 GROVE STREET, SAXTONS RIVER, VT 05154-0174
(802) 869-2196
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
0400003229
VT
2251P0200X
Pediatric Physical Therapist
Primary
2311
NH
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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