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1225514607
CASEY LEIGH WALLACE
INDIANAPOLIS, IN
NPI
1225514607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05010583A)
Enumeration Date
2018-07-18
Last Update Date
2018-07-18
Business Address
CASEY LEIGH WALLACE PT
6040 W 84TH ST
INDIANAPOLIS, IN 46278-1360
Phone number: 317-802-2000
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Mailing Address
CASEY LEIGH WALLACE PT
8450 NORTHWEST BLVD
INDIANAPOLIS, IN 46278-1381
Phone number: 317-802-2000
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