DR. Ida Sue Wallen, D.C.

NPI #1609045566 in Pinellas Park, Florida

Provider Information

NPI Number
1609045566
Entity Type
Individual
Name
DR. Ida Sue Wallen, D.C.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Chiropractor - Rehabilitation
Credential
D.C.
Enumeration Date
Feb 25, 2008
Last Updated
Feb 3, 2011

Practice Location

Address
9375 US HIGHWAY 19 N STE B
State
Florida
ZIP Code
33782-5420
Phone
(727) 577-7775

Specialties & Taxonomy Codes

Specialty
Chiropractor - RehabilitationRehabilitation

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