COLLEEN R WALLACE

BRISTOL, NH
NPI1457964678
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NH  4692)
Enumeration Date2020-08-27
Last Update Date2024-11-27
Business Address
COLLEEN R WALLACE DPT
20 LAKE ST
BRISTOL, NH 03222-4009
Phone number: 603-393-0135
Mailing Address
COLLEEN R WALLACE DPT
PO BOX 430
BRISTOL, NH 03222-0430
Phone number: 603-393-0135