CAROLYN ANN WALLACE

SPRINGDALE, AR
NPI1518788728
Former NameCAROLYN ANN GODWIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AR  4984)
Enumeration Date2024-10-21
Last Update Date2024-10-21
Business Address
Mrs. CAROLYN ANN WALLACE PTA
2070 MCKENZIE RD STE C
SPRINGDALE, AR 72762-0870
Phone number: 479-750-7778
Mailing Address
Mrs. CAROLYN ANN WALLACE PTA
177 ROGGERO RD APT 10
TONTITOWN, AR 72762-4520
Phone number: 580-278-1104
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