MRS. Kaitlin Jean Wallace

NPI #1033882956 in Sheridan, Wyoming

Provider Information

NPI Number: 1033882956
Entity Type: Individual
Name: MRS. Kaitlin Jean Wallace
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Jul 27, 2021
Last Updated: Jul 27, 2021

Practice Location

Address: 918 W BRUNDAGE LN
City: Sheridan
State: Wyoming
ZIP Code: 82801-5827
Phone: (307) 673-4420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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