Kelly Wallace P.T.

NPI 1194892810 - Physical Therapist - 225100000X

NPI Details
NPI 1194892810
Gender Female
Enumeration Date 11/29/2006
Last Updated 08/30/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
8619 BROADWAY ST STE 200
PEARLAND TX, 77584-8496, US
Phone (281) 485-4818
Fax (281) 485-5446
Business Location
8619 BROADWAY ST STE 200
PEARLAND TX, 77584-8496, US
Phone (281) 485-4818
Fax (281) 485-5446
Toxanomy
Taxonomy Code 225100000X
License State Texas
License Number 1050854
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According to our database, Mrs. Kelly Wallace P.T. NPI is 1194892810, taxonomy code is 225100000X and license number is 1050854, license state is located at Texas. Kelly Wallace P.T. physically located at 8619 Broadway St Ste 200, Pearland TX, 77584-8496. NPI Number Kelly Wallace P.T. has the Individual type.

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1194892810 NPI number is provided on an as is basis without warranty of any kind. 1194892810 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Wallace P.T. are for informational purposes only.