GUY ROBERT WALLACE

ELIZABETHTOWN, KY
NPI1477605772
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: KY  002884)
Enumeration Date2007-01-17
Last Update Date2008-06-02
Business Address
Mr. GUY ROBERT WALLACE P.T.
1222 WOODLAND DR
ELIZABETHTOWN, KY 42701-2710
Phone number: 270-234-1569
Mailing Address
Mr. GUY ROBERT WALLACE P.T.
403 N MILES ST
ELIZABETHTOWN, KY 42701-1834
Phone number: 270-360-9129
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