GARRETT WALLACE

SUMMIT, MS
NPI1306339262
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2018-06-14
Last Update Date2018-06-14
Business Address
GARRETT WALLACE
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: 601-276-3909
Mailing Address
GARRETT WALLACE
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: 601-276-3909
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