KRISTIN NICOLE WALLACE

APPLETON, WI
NPI1366745804
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
Enumeration Date2010-12-06
Last Update Date2010-12-06
Business Address
Mrs. KRISTIN NICOLE WALLACE M.S., OTR
1506 S ONEIDA ST
APPLETON, WI 54915-1305
Phone number: 920-738-2000
Mailing Address
Mrs. KRISTIN NICOLE WALLACE M.S., OTR
2935 N RANKIN ST
APPLETON, WI 54911-1518
Phone number: 920-659-2887
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