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Courtney Brooke Wallace, PT
Contractor in Raleigh, North Carolina
NPI 1285877217

Courtney Brooke Wallace is a Contractor based in Raleigh, NC. Courtney Brooke Wallace practices in Raleigh, NC and has the professional credentials of PT. The NPI Number for Courtney Brooke Wallace is 1285877217 and holds a License No. 8974 (North Carolina).

The current practice location address for Courtney Brooke Wallace is 3601 Windemere Pl, Raleigh, NC and can be reached out via phone at 919-601-0149.

Location: 3601 Windemere Pl, Raleigh, NC, 27613-5754
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285877217
Provider Name
Courtney Brooke Wallace
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
3601 Windemere Pl, Raleigh, NC, 27613-5754
Phone Number
919-601-0149
Fax Number
Provider Enumeration Date
04/06/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3601 Windemere Pl
City
Raleigh
State
North Carolina
Zip
27604-5961
Phone Number
919-601-0149
Fax Number
person
Provider Business Mailing Address Details
Address
3601 Windemere Pl
City
Raleigh
State
North Carolina
Zip
27604-5961
Phone Number
919-601-0149
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
171W00000X
License No.
8974 (North Carolina)
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
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