LORI WALLACE

BETHANY, OK
NPI1689991366
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2251P0200X Physical Therapist, Pediatrics
(Licence: OK  1399)
Enumeration Date2010-04-21
Last Update Date2015-10-19
Business Address
-- LORI WALLACE RPT
6800 NW 39TH EXPY
BETHANY, OK 73008-2513
Phone number: 405-440-9866
Mailing Address
-- LORI WALLACE RPT
6800 NW 39TH EXPY
BETHANY, OK 73008-2513
Phone number: 405-440-9866
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