DIANE RUTH WALLACE

LA MESA, CA
NPI1265642730
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  AT250)
Enumeration Date2007-05-23
Last Update Date2007-07-08
Business Address
-- DIANE RUTH WALLACE PTA
9000 WAKARUSA ST
LA MESA, CA 91942-3307
Phone number: 619-740-4600
Mailing Address
-- DIANE RUTH WALLACE PTA
2033 ARROW CT
EL CAJON, CA 92019-4226
Phone number: 619-440-3754