Individual
MRS. AIMEE JENNIFER WALLACE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
711 S COWLEY ST, SPOKANE, WA 99202-1330
(509) 473-6000
(509) 473-6097
Mailing address
1202 S LACEY ST, SPOKANE, WA 99202-4355
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
PT00008674
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT00008674
PT LICENSE
WA
Enumeration date
04/12/2006
Last updated
07/08/2007
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