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1194482620
KAITLIN BROOKE WALLACE
MARYVILLE, TN
NPI
1194482620
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 11686)
Enumeration Date
2021-11-18
Last Update Date
2021-11-18
Business Address
Dr. KAITLIN BROOKE WALLACE PT, DPT
629 SMITHVIEW DR
MARYVILLE, TN 37803-6100
Phone number: 865-984-8484
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Mailing Address
Dr. KAITLIN BROOKE WALLACE PT, DPT
12516 LOVELACE RD
KNOXVILLE, TN 37932-1703
Phone number: 865-804-5796
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