KAITLIN JEAN WALLACE

SHERIDAN, WY
NPI1033882956
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WY  OT-1570)
Enumeration Date2021-07-27
Last Update Date2021-07-27
Business Address
Mrs. KAITLIN JEAN WALLACE
918 W BRUNDAGE LN
SHERIDAN, WY 82801-5827
Phone number: 307-673-4420
Mailing Address
Mrs. KAITLIN JEAN WALLACE
814 N CUSTER ST APT 102
SHERIDAN, WY 82801-3749
Phone number: 818-209-8709
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