Individual
MRS. MYLA S. WAHLQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1425 VILLAGE SQUARE BLVD, SUITE 3, TALLAHASSEE, FL 32312-1271
(850) 431-4445
(850) 431-6231
Mailing address
1425 VILLAGE SQUARE BLVD, SUITE 3, TALLAHASSEE, FL 32312-1271
(850) 431-4445
(850) 431-6231
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT6224
FL
Other
Enumeration date
03/29/2013
Last updated
03/29/2013
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