HYACINTH WALLACE

CHICAGO, IL
NPI1396147047
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT31379)
Enumeration Date2014-09-24
Last Update Date2018-06-14
Business Address
-- HYACINTH WALLACE P.T, DPT
4008 N CICERO AVE
CHICAGO, IL 60641-1807
Phone number: 773-481-0540
Mailing Address
-- HYACINTH WALLACE P.T, DPT
105 MARINER HEALTH WAY STE 213
ST AUGUSTINE, FL 32086-3251
Phone number: 904-217-4259
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