SHAWNLY ELISE WALLACE

TACOMA, WA
NPI1619187788
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WA  PT00005001)
Enumeration Date2007-05-23
Last Update Date2007-07-08
Business Address
-- SHAWNLY ELISE WALLACE PT
4020 S 56TH ST STE 101
TACOMA, WA 98409-2626
Phone number: 253-475-6862
Mailing Address
-- SHAWNLY ELISE WALLACE PT
25813 68TH AVE E
GRAHAM, WA 98338-7133
Phone number: 253-820-8816
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