PATRICIA WALLACE

DALLAS, TX
NPI1538606744
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: SC  4664)
Enumeration Date2017-01-25
Last Update Date2017-01-25
Business Address
-- PATRICIA WALLACE
1755 WITTINGTON PL STE 175
DALLAS, TX 75234-1905
Phone number: 866-221-5405
Mailing Address
-- PATRICIA WALLACE
8994 COUNTY ROUTE 13
BATH, NY 14810-7916
Phone number: 607-684-8783