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1497078893
DONALD D WALLACE
MEDIA, PA
NPI
1497078893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT017196)
Enumeration Date
2010-03-12
Last Update Date
2010-03-12
Business Address
-- DONALD D WALLACE PT
605 W STATE ST FIRST FLOOR
MEDIA, PA 19063-2620
Phone number: 610-566-7424
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Mailing Address
-- DONALD D WALLACE PT
605 W STATE ST FIRST FLOOR
MEDIA, PA 19063-2620
Phone number: 610-566-7424
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