LISA WALLACE

AUSTIN, TX
NPI1417365016
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: TX  108673)
Enumeration Date2014-07-27
Last Update Date2014-07-27
Business Address
-- LISA WALLACE OT
1215 RED RIVER ST
AUSTIN, TX 78701-1921
Phone number: 512-324-7131
Mailing Address
-- LISA WALLACE OT
1400 N IH 35 SUITE 300
AUSTIN, TX 78701-1926
Phone number: 512-324-8300
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