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1285903955
MELISSA WALLACE
MAYFLOWER, AR
NPI
1285903955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AR PT 1824)
Enumeration Date
2011-12-23
Last Update Date
2011-12-23
Business Address
-- MELISSA WALLACE PT
582 HWY 365 STE 3
MAYFLOWER, AR 72106
Phone number: 501-470-3500
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Mailing Address
-- MELISSA WALLACE PT
3930 GABRIAL DRIVE
CONWAY, AR 72034-3366
Phone number: 501-470-3500
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