KELLY WALLACE, RPT
Physical Therapist
Active
Individual
NPI: 1184696023
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | PT2460 (OK) |
Frequently Asked Questions
NPI 1184696023 is the National Provider Identifier for KELLY WALLACE, RPT, a Physical Therapist provider located in Choctaw, OK. This NPI was enumerated on February 5, 2006.
KELLY WALLACE, RPT practices at 13390 NE 23RD ST, Choctaw, OK 73020.
Quick Facts
- NPI
- 1184696023
- Type
- Individual
- Enumerated
- Feb 5, 2006
- Last Updated
- Apr 27, 2015
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