DANIELLE WALLACE

MACON, GA
NPI1528589629
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: GA  OT005020)
Enumeration Date2017-06-29
Last Update Date2017-06-29
Business Address
DANIELLE WALLACE
5021 MERCER UNIVERSITY DR
MACON, GA 31210-5691
Phone number: 478-845-3520
Mailing Address
DANIELLE WALLACE
PO BOX 1552
BYRON, GA 31008-1552
Phone number: 478-845-3520
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