JORDEEN WALLACE

WEST PLAINS, MO
NPI1093856007
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MO  11903)
Enumeration Date2007-02-11
Last Update Date2007-07-08
Business Address
-- JORDEEN WALLACE
1100 N KENTUCKY AVE
WEST PLAINS, MO 65775-2029
Phone number: 417-257-5959
Mailing Address
-- JORDEEN WALLACE
PO BOX 1100
WEST PLAINS, MO 65775-1100
Phone number: