Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. COLLEEN THERESE WALLACE, COTA
Active Sole ProprietorSkilled Nursing Facility · ARPIN, WI
Registration Details
- NPI Number
- 1992043210
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 21, 2013 (13.24737224174 yrs)
- Last Updated
- Jan 21, 2013
- License
-
1032-27 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9286 ARPIN RICHFIELD RDARPIN, WI, 544109514Browse WI providers · Browse ZIP 54410
- Phone
- 7158974213
- Primary Specialty
-
Skilled Nursing Facility
314000000X
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.