Tammy K Wallen

NPI #1174845770 in Crystal River, Florida

Provider Information

NPI Number
1174845770
Entity Type
Individual
Name
Tammy K Wallen
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Enumeration Date
Feb 23, 2010
Last Updated
Feb 23, 2010

Practice Location

Address
394 N SUNCOAST BLVD
Address 2
SUITE 40
State
Florida
ZIP Code
34429-5466
Phone
(352) 795-6225

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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