MASON WALLACE

ALEXANDRIA, VA
NPI1033500525
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: VA  2305209278)
Enumeration Date2015-02-05
Last Update Date2015-02-05
Business Address
-- MASON WALLACE
209 MADISON ST SUITE LL2
ALEXANDRIA, VA 22314-1764
Phone number: 703-299-6688
Mailing Address
-- MASON WALLACE
209 MADISON ST SUITE LL2
ALEXANDRIA, VA 22314-1764
Phone number: 703-299-6688
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