CONNOR WALLACE

SALT LAKE CITY, UT
NPI1245005149
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
Enumeration Date2023-11-20
Last Update Date2024-03-04
Business Address
CONNOR WALLACE
85 N MEDICAL DR
SALT LAKE CITY, UT 84112-1100
Phone number: 801-587-3422
Mailing Address
CONNOR WALLACE
445 N HALE ST
GRANTSVILLE, UT 84029-9398
Phone number: