Individual
MS. DONNA LEE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
5600 CYPRESSWOOD DR, SPRING, TX 77379-8260
(832) 559-7767
(832) 559-7767
Mailing address
5600 CYPRESSWOOD DR, SPRING, TX 77379-8260
(832) 559-7767
(832) 559-7767
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
101953
TX
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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