Whalio Doctors

NPI 1457964678

Colleen R Wallace, DPT

Practitioner Physical Therapist Bristol, NH

Practice location

Address
20 Lake St, Bristol, NH 03222-4009
Phone
(603) 393-0135
Mailing address
PO Box 430, Bristol, NH 03222-0430

Registered specialties

Physical Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 4692 (NH)

Registry record

NPI
1457964678
Entity type
Individual
Sex (as registered)
Female
NPI issued
27 Aug 2020
Record last updated
27 Nov 2024

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.