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1598028474
WILLIAM TODD WALLACE
TEXARKANA, TX
NPI
1598028474
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1097046)
Enumeration Date
2012-06-16
Last Update Date
2012-06-16
Business Address
-- WILLIAM TODD WALLACE PT
8225 COYOTE TRL
TEXARKANA, TX 75503-9657
Phone number: 903-223-6942
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Mailing Address
-- WILLIAM TODD WALLACE PT
8225 COYOTE TRL
TEXARKANA, TX 75503-9657
Phone number:
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