CONNAN WALLACE

VINEYARD, UT
NPI1548019730
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2024-05-18
Last Update Date2024-05-18
Business Address
CONNAN WALLACE PT, DPT
691 E 400 N STE 210
VINEYARD, UT 84059-7510
Phone number: 801-766-4244
Mailing Address
CONNAN WALLACE PT, DPT
4087 W GREAT NECK DR
SOUTH JORDAN, UT 84009-6021
Phone number: 801-389-7298
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