KAREN WALLACE

Developmental Therapist

Active Individual
NPI: 1568655348

Practice Address

111 NATURE WALK PKWY
SUITE 101
St Augustine, FL 32092

Phone: (904) 230-7761

Specialties

Specialty Code Primary License
Developmental Therapist 222Q00000X Yes -

Frequently Asked Questions

NPI 1568655348 is the National Provider Identifier for KAREN WALLACE, a Developmental Therapist provider located in St Augustine, FL. This NPI was enumerated on August 24, 2007.
KAREN WALLACE practices at 111 NATURE WALK PKWY, SUITE 101, St Augustine, FL 32092.

Quick Facts

NPI
1568655348
Type
Individual
Enumerated
Aug 24, 2007
Last Updated
Aug 24, 2007

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