LAURA JEAN WALLACE

MEDINA, OH
NPI1558417436
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OH  02040)
Enumeration Date2007-01-25
Last Update Date2007-07-08
Business Address
Mrs. LAURA JEAN WALLACE LPTA
4691 WINDFALL RD
MEDINA, OH 44256-8705
Phone number: 330-727-7751
Mailing Address
Mrs. LAURA JEAN WALLACE LPTA
10596 CROW RD
LITCHFIELD, OH 44253-9537
Phone number: 330-723-5765