COLLIN WILLIAM WALLACE

CLEARWATER, FL
NPI1568830719
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  30787)
Enumeration Date2015-09-04
Last Update Date2016-11-18
Business Address
-- COLLIN WILLIAM WALLACE DPT
2349 SUNSET POINT RD STE 400
CLEARWATER, FL 33765-1439
Phone number: 970-371-8965
Mailing Address
-- COLLIN WILLIAM WALLACE DPT
3903 NORTHDALE BLVD STE 111W
TAMPA, FL 33624-1853
Phone number: 813-805-8167
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