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1124429048
KAITLYN D WALLACE
RALEIGH, NC
NPI
1124429048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC P15088)
Enumeration Date
2014-09-10
Last Update Date
2024-10-11
Business Address
KAITLYN D WALLACE PT
3803B COMPUTER DR STE 200
RALEIGH, NC 27609-6503
Phone number: 919-791-3582
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Mailing Address
KAITLYN D WALLACE PT
3803B COMPUTER DR STE 200
RALEIGH, NC 27609-6503
Phone number: 919-791-3582
Copy
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