JONATHAN WALLACE

PLANTATION, FL
NPI1619696648
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2022-08-23
Last Update Date2022-08-23
Business Address
JONATHAN WALLACE DPT
8040 PETERS RD STE H107
PLANTATION, FL 33324-4029
Phone number: 954-835-5619
Mailing Address
JONATHAN WALLACE DPT
3828 NW 107TH WAY
SUNRISE, FL 33351-8108
Phone number: 954-612-6315
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