| Wallace Wellness Therapy & Performance Llc | |
|
45752 Utica Park Blvd, Utica, MI 48315-5950 | |
| (330) 402-7541 | |
| Not Available |
| Full Name | Wallace Wellness Therapy & Performance Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 45752 Utica Park Blvd, Utica, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750990198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Wallace Wellness Therapy & Performance Llc 45752 Utica Park Blvd, Utica, MI 48315-5950 Ph: (330) 402-7541 | Wallace Wellness Therapy & Performance Llc 45752 Utica Park Blvd, Utica, MI 48315-5950 Ph: (330) 402-7541 |
Lanee Arlett Wallace, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 45752 Utica Park Blvd, Utica, MI 48315 Phone: 330-402-7541 | |
Mrs. Laura R Chludzinski, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 45816 Schoenherr Rd, Utica, MI 48315 Phone: 586-900-2100 Fax: 586-900-2101 |