GAYLE ANN WALLACE

STERLING HEIGHTS, MI
NPI1164153409
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MI  5502001041)
Enumeration Date2022-06-17
Last Update Date2022-06-17
Business Address
GAYLE ANN WALLACE PTA
40778 RAINIER DR
STERLING HEIGHTS, MI 48313-5367
Phone number: 586-819-6887
Mailing Address
GAYLE ANN WALLACE PTA
40778 RAINIER DR
STERLING HEIGHTS, MI 48313-5367
Phone number: 586-819-6887
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