MRS. Kristin Nicole Wallace, M.S., OTR

NPI #1366745804 in Appleton, Wisconsin

Provider Information

NPI Number
1366745804
Entity Type
Individual
Name
MRS. Kristin Nicole Wallace, M.S., OTR
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Credential
M.S., OTR
Enumeration Date
Dec 6, 2010
Last Updated
Dec 6, 2010

Practice Location

Address
1506 S ONEIDA ST
ZIP Code
54915-1305
Phone
(920) 738-2000

Specialties & Taxonomy Codes

Specialty
Specialist

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