MRS. Nyriss Audrey Wallace

NPI #1780024646 in Fridley, Minnesota

Provider Information

NPI Number
1780024646
Entity Type
Individual
Name
MRS. Nyriss Audrey Wallace
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Enumeration Date
Jun 25, 2013
Last Updated
Jun 25, 2013

Practice Location

Address
550 OSBORNE RD NE
ZIP Code
55432-2718
Phone
(763) 236-5000

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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