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1538606744
PATRICIA WALLACE
DALLAS, TX
NPI
1538606744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: SC 4664)
Enumeration Date
2017-01-25
Last Update Date
2017-01-25
Business Address
-- PATRICIA WALLACE
1755 WITTINGTON PL STE 175
DALLAS, TX 75234-1905
Phone number: 866-221-5405
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Mailing Address
-- PATRICIA WALLACE
8994 COUNTY ROUTE 13
BATH, NY 14810-7916
Phone number: 607-684-8783
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