Lorri Wallace

NPI #1811423270 in Neodesha, Kansas

Provider Information

NPI Number: 1811423270
Entity Type: Individual
Name: Lorri Wallace
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: May 4, 2017
Last Updated: May 4, 2017

Practice Location

Address: 3419 US 75 HWY
City: Neodesha
State: Kansas
ZIP Code: 66757-9443
Phone: (620) 330-2748

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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