JULIA DANIELLE WALLACE

LAWRENCEVILLE, GA
NPI1366105892
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XN1300X Occupational Therapist, Neurorehabilitation
(Licence: GA  OT008010)
Enumeration Date2021-10-21
Last Update Date2021-10-21
Business Address
JULIA DANIELLE WALLACE OTR/L
1860 ATKINSON RD
LAWRENCEVILLE, GA 30043-5065
Phone number: 706-948-2773
Mailing Address
JULIA DANIELLE WALLACE OTR/L
110 PEARL ST SE APT 4
ATLANTA, GA 30316-1266
Phone number: 404-397-8655
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