ANNA JOAN WALLACE

ST PETERSBURG, FL
NPI1437421245
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  12091)
Enumeration Date2012-02-08
Last Update Date2012-02-08
Business Address
-- ANNA JOAN WALLACE COTA
255 59TH ST N
ST PETERSBURG, FL 33710-8539
Phone number: 727-345-2775
Mailing Address
-- ANNA JOAN WALLACE COTA
255 59TH ST N
ST PETERSBURG, FL 33710-8539
Phone number: 727-345-2775
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