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1063451375
BRIDGETT D'ANN WALLACE
AUSTIN, TX
NPI
1063451375
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251N0400X Physical Therapist, Neurology
(Licence: TX 1104610)
Enumeration Date
2006-06-05
Last Update Date
2019-01-31
Business Address
BRIDGETT D'ANN WALLACE PT
7900 SHOAL CREEK BLVD SUITE 200
AUSTIN, TX 78757-8037
Phone number: 512-345-4664
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Mailing Address
BRIDGETT D'ANN WALLACE PT
5608 PARKCREST DR STE 100
AUSTIN, TX 78731-4972
Phone number: 512-345-4664
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