GRANT WALLACE

DAYTONA BEACH, FL
NPI1386514339
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT43773)
Enumeration Date2025-11-06
Last Update Date2025-11-13
Business Address
GRANT WALLACE DPT
1865 LPGA BLVD
DAYTONA BEACH, FL 32117-7108
Phone number: 386-255-4596
Mailing Address
GRANT WALLACE DPT
1865 LPGA BLVD
DAYTONA BEACH, FL 32117-7108
Phone number: 386-255-4596
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