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Kelly Wallace, RPT
NPI 1184696023 · on the registry since 2006
Practice
- Address
- 13390 Ne 23rd St
Choctaw, OK 73020 - Phone
- (405) 769-5555
- Fax
- (405) 769-5558
- Organisation at this address
- Choctaw Physical Therapy Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Physical Therapist
225100000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-04-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma