Search › Maryland › 225100000X
Mariesol Wallace, PT
NPI 1720269335 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1615 Horsedrawn Ct
Severn, MD 21144 - Phone
- (443) 688-6220
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-11-26
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 Maryland