MARIO JAMES WALLACE

NEW YORK, NY
NPI1043064009
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: NY  052204)
Enumeration Date2024-04-16
Last Update Date2024-04-16
Business Address
Mr. MARIO JAMES WALLACE PT, DPT
235 W 75TH ST
NEW YORK, NY 10023-0328
Phone number: 646-518-5559
Mailing Address
Mr. MARIO JAMES WALLACE PT, DPT
16 DOGWOOD DR
MIDDLETOWN, NY 10940-1802
Phone number: 845-956-3453
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