JOHN ANTHONY WALLACE

SANFORD, NC
NPI1154655231
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NC  12280)
Enumeration Date2009-09-23
Last Update Date2009-09-23
Business Address
Mr. JOHN ANTHONY WALLACE BA, MA
2702 FARRELL RD
SANFORD, NC 27330-6505
Phone number: 919-776-9602
Mailing Address
Mr. JOHN ANTHONY WALLACE BA, MA
702 MARLIN LN
CLINTON, TN 37716-5982
Phone number: 865-898-7448
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