KELLY LYNN WALLACE

LAKE WORTH, FL
NPI1750268520
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT43619)
Enumeration Date2025-08-21
Last Update Date2025-08-21
Business Address
KELLY LYNN WALLACE DPT
6169 S JOG RD STE A11
LAKE WORTH, FL 33467-6586
Phone number: 561-432-0111
Mailing Address
KELLY LYNN WALLACE DPT
780 E DORCHESTER DR
SAINT JOHNS, FL 32259-6287
Phone number: 386-748-0648