person
Marie L. Wallace, CPCPERMIT#IP150410
Rehabilitation Practitioner in Las Vegas, Nevada
NPI 1548525934

Marie L. Wallace is a Rehabilitation Practitioner based in Las Vegas, NV. Marie L. Wallace practices in Las Vegas, NV and has the professional credentials of CPCPERMIT#IP150410. The NPI Number for Marie L. Wallace is 1548525934 and holds a License No. (Nevada).

The current practice location address for Marie L. Wallace is 3606 North Roncho Dr, Las Vegas, NV and can be reached out via phone at 504-400-5768.

Location: 3606 North Roncho Dr, Las Vegas, NV, 89145
person
Provider Profile Details
NPI Number
1548525934
Provider Name
Marie L. Wallace
Credential
CPCPERMIT#IP150410
Provider Entity Type
Individual
Gender
Female
Address
3606 North Roncho Dr, Las Vegas, NV, 89145
Phone Number
504-400-5768
Fax Number
Provider Enumeration Date
07/11/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3606 North Roncho Dr
City
State
Zip
89130
Phone Number
504-400-5768
Fax Number
person
Provider Business Mailing Address Details
Address
3606 North Roncho Dr
City
State
Zip
89130
Phone Number
504-400-5768
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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