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1255972568
ROBERT BOWMAN WALLACE
CHARLOTTE, NC
NPI
1255972568
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC P19188)
Enumeration Date
2019-10-08
Last Update Date
2023-06-19
Business Address
ROBERT BOWMAN WALLACE DPT
5935 CARNEGIE BLVD STE 104
CHARLOTTE, NC 28209-4672
Phone number: 043-232-5007
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Mailing Address
ROBERT BOWMAN WALLACE DPT
4601 PARK RD STE 300
CHARLOTTE, NC 28209-2290
Phone number: 704-323-3611
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