JOHN WALLACE

SAN ANTONIO, TX
NPI1619541273
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: TX  105945)
Enumeration Date2021-05-18
Last Update Date2021-05-18
Business Address
JOHN WALLACE
7710 W INTERSTATE 10
SAN ANTONIO, TX 78230-4711
Phone number: 210-377-3355
Mailing Address
JOHN WALLACE
7710 W INTERSTATE 10
SAN ANTONIO, TX 78230-4711
Phone number: 210-377-3355
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