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Search › Arkansas › 225200000X

Carolyn Wallace, PTA

NPI 1518788728 · on the registry since 2024 · sole proprietor

Practice

Address
2070 Mckenzie Rd Ste C
Springdale, AR 72762
Phone
(479) 750-7778
Fax
(479) 750-7708
Organisation at this address
Total Renal Care Inc
Russ Physical Therapy Llc
Ozark Laser And Surgery Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
41

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-10-21

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 Arkansas