GARRET ANTHONY WADSACK

HOLLOMAN AFB, NM
NPI1033241922
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: TX  1119782)
Enumeration Date2007-03-09
Last Update Date2007-07-08
Business Address
-- GARRET ANTHONY WADSACK PT
2797 SAN ANDRES CT APT B
HOLLOMAN AFB, NM 88330-7140
Phone number: 505-479-1050
Mailing Address
-- GARRET ANTHONY WADSACK PT
2797B SAN ANDREAS
HOLLOMAN AFB, NM 88330
Phone number: 505-479-1050
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