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1194892810
KELLY WALLACE
PEARLAND, TX
NPI
1194892810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1050854)
Enumeration Date
2006-11-29
Last Update Date
2010-08-30
Business Address
Mrs. KELLY WALLACE P.T.
8619 BROADWAY ST STE 200
PEARLAND, TX 77584-8496
Phone number: 281-485-4818
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Mailing Address
Mrs. KELLY WALLACE P.T.
8619 BROADWAY ST STE 200
PEARLAND, TX 77584-8496
Phone number: 281-485-4818
Copy
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