MRS. Colleen Therese Wallace, COTA

NPI #1992043210 in Arpin, Wisconsin

Provider Information

NPI Number
1992043210
Entity Type
Individual
Name
MRS. Colleen Therese Wallace, COTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Skilled Nursing Facility
Credential
COTA
Enumeration Date
Jan 21, 2013
Last Updated
Jan 21, 2013

Practice Location

Address
9286 ARPIN RICHFIELD RD
City
Arpin
ZIP Code
54410-9514
Phone
(715) 897-4213

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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