DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KAREN WALLACE

Active Sole Proprietor

KAREN WALLACE is a Developmental Therapist healthcare provider located in ST AUGUSTINE, Florida. NPI 1568655348 is currently active in the NPPES registry. Verify at CMS.

Developmental Therapist · ST AUGUSTINE, FL

Registration Details

NPI Number
1568655348
Provider Type
Individual
Gender
Female
NPI Issued
Aug 24, 2007 (18.971217044069 yrs)
Last Updated
Aug 24, 2007
Sole Proprietor
Yes

Practice Information

Address
111 NATURE WALK PKWY
SUITE 101
ST AUGUSTINE, FL, 320925073
Browse FL providers · Browse ZIP 32092
Phone
9042307761
Fax
9042307763
Primary Specialty
Developmental Therapist
222Q00000X

Other Developmental Therapist Providers in ST AUGUSTINE, FL

Name Credential NPI
MRS. CAROL MEHLBERG CARBERRY BA 1497941835
JAMILA CLOWARD 1962823161
MRS. NANCY DIXON KOCH LSLS CERT. AVED 1427535186
MRS. ASHLEY KATHERINE TAYLOR 1841771821
ELIZABETH MALTBY 1023623477
STEPHANIE SPARKMAN 1134791890
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.