Search › Ohio › 172V00000X
Penny Wallace
NPI 1518510122 · on the registry since 2019 · sole proprietor
Practice
- Address
- 6825 N State Route 66
Defiance, OH 43512 - Phone
- (419) 782-4196
- Organisation at this address
- We Are Limitless Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Sex
- Female
- Record last updated
- 2019-07-23
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 Ohio