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1487325304
KELSY WALLACE
PALO ALTO, CA
NPI
1487325304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 22827)
Enumeration Date
2021-09-21
Last Update Date
2021-09-21
Business Address
KELSY WALLACE OTR
620 SAND HILL RD
PALO ALTO, CA 94304-2002
Phone number: 888-926-1850
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Mailing Address
KELSY WALLACE OTR
1125 PARK PL APT 122
SAN MATEO, CA 94403-1578
Phone number: 650-392-5552
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