Individual
MARY B RAHOE-WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1720 S BELLAIRE ST, STE 325, DENVER, CO 80222-4304
(866) 801-9492
Mailing address
7172 S FRANKLIN ST, CENTENNIAL, CO 80122-1363
(720) 495-0397
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL-2407
CO
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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