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1518620806
ANIETIE UKPE-WALLACE
ALAMEDA, CA
NPI
1518620806
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Other Name
TIA UKPE-WALLACE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT297733)
Enumeration Date
2021-10-14
Last Update Date
2021-10-14
Business Address
ANIETIE UKPE-WALLACE PT, DPT
1705 WEBSTER STREET
ALAMEDA, CA 94501-9450
Phone number: 510-545-3541
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Mailing Address
ANIETIE UKPE-WALLACE PT, DPT
3001 JORDAN RD
OAKLAND, CA 94602-3530
Phone number: 914-400-7681
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