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1275545964
MELISSA A WALLACE
AVON, OH
NPI
1275545964
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Former Name
MELISSA A MRAZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OH PT-8782)
Enumeration Date
2006-08-12
Last Update Date
2007-07-08
Business Address
-- MELISSA A WALLACE PT
1502 TRAVELERS PT
AVON, OH 44011-4046
Phone number: 440-934-8184
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Mailing Address
-- MELISSA A WALLACE PT
23825 COMMERCE PARK SUITE B
BEACHWOOD, OH 44122-5837
Phone number: 216-292-6363
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