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1114926698
KIMBERLY WALLACE
PHILADELPHIA, PA
NPI
1114926698
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT007970L)
Enumeration Date
2005-07-18
Last Update Date
2008-04-18
Business Address
-- KIMBERLY WALLACE PT
420 BAINBRIDGE ST 453 LOWER INDIAN HEAD ROAD
PHILADELPHIA, PA 19147-1568
Phone number: 215-629-3837
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Mailing Address
-- KIMBERLY WALLACE PT
420 BAINBRIDGE ST 453 LOWER INDIAN HEAD ROAD
PHILADELPHIA, PA 19147-1568
Phone number: 215-629-3837
Copy
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