| Doctor Name: | MRS. KAREN CHANDLER WALLACE |
| NPI Number: | 1801078985 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPT |
| License Number: | 0400003229 |
| Business Practice Address: | 10 Grove Street Saxtons River, VT - 051540174 |
| Business Phone Number: | 8028692196 |
| Business Fax Number: | |
| Mailing Address: | Po Box 174, 10 Grove Street SAXTONS RIVER |
| State: | VT |
| Postal Code: | 051540174 |
| Phone Number: | 8028692196 |
| Fax Number: | |
| NPI Enumeration Date: | 11/30/2007 |
| NPI Last Update Date: | 11/30/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 0400003229 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VT |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |