THERESA WALLACE

SKOKIE, IL
NPI1578627931
Former NameTERRY BUTLER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070-003499)
Enumeration Date2006-12-20
Last Update Date2007-07-08
Business Address
Mrs. THERESA WALLACE PT
8833 GROSS POINT RD
SKOKIE, IL 60077-1859
Phone number: 847-674-2630
Mailing Address
Mrs. THERESA WALLACE PT
8647 HARMS RD
SKOKIE, IL 60077-2058
Phone number:
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