Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Karen Wallace

Individual provider Developmental Therapist · NPI 1568655348

Karen Wallace is a Developmental Therapist in St Augustine, Florida. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007
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Practice location Address checks out

111 Nature Walk Pkwy Ste 101
St Augustine, FL 32092-5073
Phone: (904) 230-7761
Fax: (904) 230-7763
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Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1568655348
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 24, 2007
Last updated in NPPESAugust 24, 2007
Mailing address111 Nature Walk Pkwy, Suite 101, St Augustine, FL 32092-5073

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