Delaware
Division of Professional Regulation
Kimberly M. Wallace
Physical Therapy/Athletic Trg - Physical Therapist
License number
J1-0002291
Date granted
11/29/2007
Date expires
01/31/2009
Class
Physical Therapy/Athletic Trg - Physical Therapist
Status
Lapsed
Address
Willingboro NJ 08046
delawarelicensing.com
ID 20732467
LAST UPDATED 2026-05-08 10:09:10 UTC
LAST UPDATED 2026-05-08 10:09:10 UTC
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