CASEY L. WALLACE

VIRGINIA BEACH, VA
NPI1134474323
Former NameCASEY L FIORAVANTE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: VA  2305207461)
Enumeration Date2012-07-13
Last Update Date2021-03-22
Business Address
CASEY L. WALLACE PT, DPT
984B LASKIN RD
VIRGINIA BEACH, VA 23451-3905
Phone number: 757-395-6900
Mailing Address
CASEY L. WALLACE PT, DPT
984B LASKIN RD
VIRGINIA BEACH, VA 23451-3905
Phone number: 757-395-6900
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