TARA NICOLE WALLACE

SEARCY, AR
NPI1780833442
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: AR  O-T0855)
Enumeration Date2008-09-17
Last Update Date2008-09-17
Business Address
Mrs. TARA NICOLE WALLACE OTR/L
1905 W BEEBE CAPPS EXPY
SEARCY, AR 72143-5012
Phone number: 501-268-5001
Mailing Address
Mrs. TARA NICOLE WALLACE OTR/L
1905 W BEEBE CAPPS EXPY
SEARCY, AR 72143-5012
Phone number: 501-268-5001