ELLEN DEANNE WALLACE

WINCHESTER, KY
NPI1871756957
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: KY  003834)
Enumeration Date2008-07-08
Last Update Date2008-07-08
Business Address
-- ELLEN DEANNE WALLACE PT
404 CEDAR CT
WINCHESTER, KY 40391-2923
Phone number: 859-737-5888
Mailing Address
-- ELLEN DEANNE WALLACE PT
404 CEDAR CT
WINCHESTER, KY 40391-2923
Phone number: 859-737-5888
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