NPI 1295849081
Angela D. Wallace, BS
Practice location
- Address
- 140 Hospital Dr, South Williamson, KY 41503-4022
- Phone
- (606) 237-9873
- Fax
- (606) 237-9723
- Mailing address
- 104 S Front Ave, Prestonsburg, KY 41653-1614
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1295849081
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Aug 2006
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.