DEREK WALLACE WALTER

SYRACUSE, NY
NPI1235469925
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2010-01-04
Last Update Date2010-01-04
Business Address
DEREK WALLACE WALTER PTA
1603 COURT ST
SYRACUSE, NY 13208-1834
Phone number: 315-455-7591
Mailing Address
DEREK WALLACE WALTER PTA
1603 COURT ST
SYRACUSE, NY 13208-1834
Phone number: 315-455-7591
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