RYAN JAMES WALLACE

BONITA SPRINGS, FL
NPI1568420354
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT 18604)
Enumeration Date2006-05-02
Last Update Date2015-05-12
Business Address
-- RYAN JAMES WALLACE PT, DPT, OCS, MTC
25241 ELEMENTARY WAY STE 200
BONITA SPRINGS, FL 34135-7883
Phone number: 239-947-4184
Mailing Address
-- RYAN JAMES WALLACE PT, DPT, OCS, MTC
8079 BRETON CIR
FORT MYERS, FL 33912-4651
Phone number: 239-947-4184
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