JAMES STEVEN WALLACE

ANDERSON, IN
NPI1356686877
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06004510A)
Enumeration Date2012-12-10
Last Update Date2012-12-10
Business Address
Mr. JAMES STEVEN WALLACE PTA
449 MAIN ST APT 131
ANDERSON, IN 46016-1186
Phone number: 765-683-0633
Mailing Address
Mr. JAMES STEVEN WALLACE PTA
449 MAIN ST APT 131
ANDERSON, IN 46016-1186
Phone number: 765-683-0633
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