STACEY WALLACE

MIDLAND, MI
NPI1043951957
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MI  5201011236)
Enumeration Date2022-04-05
Last Update Date2022-04-05
Business Address
STACEY WALLACE OTRL
5600 WALDO AVE
MIDLAND, MI 48642-6438
Phone number: 989-575-3255
Mailing Address
STACEY WALLACE OTRL
3326 BINSCARTH AVE
SAGINAW, MI 48602-3203
Phone number: 989-327-9967
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