CHRISTOPHER GEORGE WALLACE

PHILADELPHIA, PA
NPI1629746904
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: PA  OC017968)
Enumeration Date2021-09-01
Last Update Date2021-09-01
Business Address
CHRISTOPHER GEORGE WALLACE OTR/L
6595 ROOSEVELT BLVD
PHILADELPHIA, PA 19149-2998
Phone number: 215-743-2332
Mailing Address
CHRISTOPHER GEORGE WALLACE OTR/L
305 HAINES DR
NORTH WALES, PA 19454-2702
Phone number: 215-360-9314
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