License holder summary

KIMBERLY ANN WALLACE is a Direct Access Authorization - Physical Therapy licensed to practice in Pennsylvania. The address on file for KIMBERLY ANN WALLACE is OAKS PA 19456. This licensed professional license is not current. The license was granted 12/16/2004 and expired on 12/31/2012.

Pennsylvania

Department of State

KIMBERLY ANN WALLACE
Direct Access Authorization - Physical Therapy
License number
DAPT000564
Date granted
12/16/2004
Date expires
12/31/2012
Class
Direct Access Authorization - Physical Therapy
Status
Expired
Address
OAKS PA 19456
palicensing.org
ID 17274804
LAST UPDATED 2026-05-21 09:02:24 UTC

This website is unaffiliated with the Department of State. Please verify all information directly with the relevant official government authority.

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