MRS. Mariesol Figueroa Wallace, PT

NPI #1720269335 in Severn, Maryland

Provider Information

NPI Number: 1720269335
Entity Type: Individual
Name: MRS. Mariesol Figueroa Wallace, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Nov 26, 2007
Last Updated: Nov 26, 2007

Practice Location

Address: 1615 HORSEDRAWN CT
City: Severn
State: Maryland
ZIP Code: 21144-6808
Phone: (443) 688-6220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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