MICHAEL L WALLACE

ALAMOGORDO, NM
NPI1578556312
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NM  1953)
Enumeration Date2005-08-26
Last Update Date2011-06-21
Business Address
-- MICHAEL L WALLACE PT
2351 INDIAN WELLS
ALAMOGORDO, NM 88310-5012
Phone number: 575-439-1397
Mailing Address
-- MICHAEL L WALLACE PT
PO BOX 2860
ALAMOGORDO, NM 88311-2860
Phone number: 575-439-1397
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