CLINTIN SPENCER WALLACE

LUFKIN, TX
NPI1245712819
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
Enumeration Date2018-08-30
Last Update Date2018-08-30
Business Address
CLINTIN SPENCER WALLACE
501 N MEDFORD DR
LUFKIN, TX 75901-5219
Phone number: 936-639-1252
Mailing Address
CLINTIN SPENCER WALLACE
11978 COUNTY ROAD 302
NACOGDOCHES, TX 75961-7687
Phone number: 318-235-2887