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Courtney Wallace, PT
NPI 1285877217 · on the registry since 2009
Practice
- Address
- 3601 Windemere Pl
Raleigh, NC 27604 - Phone
- (919) 601-0149
- Organisation at this address
- Mentor Abi, Llc
Soarr-Steps On A Road To RecoveryInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Contractor
171W00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-01-22
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 North Carolina