SHAWNA T. WALLACE

IRVINE, CA
NPI1417225806
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT 20540)
Enumeration Date2011-12-13
Last Update Date2011-12-13
Business Address
-- SHAWNA T. WALLACE PT
21 BUTTERFLY
IRVINE, CA 92604-1951
Phone number: 949-653-2383
Mailing Address
-- SHAWNA T. WALLACE PT
21 BUTTERFLY
IRVINE, CA 92604-1951
Phone number:
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