STEPHEN PADEN WALLACE

ATLANTA, GA
NPI1053849802
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  PT012936)
Enumeration Date2017-05-24
Last Update Date2019-09-25
Business Address
STEPHEN PADEN WALLACE PT, DPT
925 GARRETT ST SE STE J
ATLANTA, GA 30316-6833
Phone number: 404-624-5407
Mailing Address
STEPHEN PADEN WALLACE PT, DPT
8823 PRODUCTION LN
OOLTEWAH, TN 37363-6511
Phone number: 423-238-7217
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