NPI 1457964678
Colleen R Wallace, DPT
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
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.