Individual
MRS. KENDRA WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
695 HENDERSON DR, CARTERSVILLE, GA 30120-3738
(770) 386-6300
(770) 382-0791
Mailing address
695 HENDERSON DRIVE, CARTERSVILLE, GA 30120-8080
(770) 386-6300
(770) 382-0791
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10677
TN
225100000X
Physical Therapist
PT008410
GA
Other
Enumeration date
06/16/2006
Last updated
04/04/2025
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