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1033457791
KIMBERLY WALLACE
PHILADELPHIA, PA
NPI
1033457791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT019083)
Enumeration Date
2013-01-30
Last Update Date
2013-01-30
Business Address
-- KIMBERLY WALLACE MPT
421 W SCHOOL HOUSE LN UNIT 2
PHILADELPHIA, PA 19144-4557
Phone number: 973-477-1421
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Mailing Address
-- KIMBERLY WALLACE MPT
421 W SCHOOL HOUSE LN UNIT 2
PHILADELPHIA, PA 19144-4557
Phone number: 973-477-1421
Copy
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