AMANDA WALLACE

LAFAYETTE, LA
NPI1578097341
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  08545)
Enumeration Date2017-04-18
Last Update Date2017-04-18
Business Address
-- AMANDA WALLACE DPT
2115 DULLES DR
LAFAYETTE, LA 70506-2652
Phone number: 337-981-9182
Mailing Address
-- AMANDA WALLACE DPT
106 STABLE CREEK DR
LAFAYETTE, LA 70506-5021
Phone number:
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