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1255604385
CHRISTINE WALLACE
VIENNA, VA
NPI
1255604385
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305205726)
Enumeration Date
2012-02-21
Last Update Date
2020-01-08
Business Address
CHRISTINE WALLACE PT
8230 OLD COURTHOUSE RD STE 350
VIENNA, VA 22182-3840
Phone number: 703-749-0223
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Mailing Address
CHRISTINE WALLACE PT
6411 WHIPPANY WAY
BURKE, VA 22015-3428
Phone number: 908-244-4511
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