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1629746904
CHRISTOPHER GEORGE WALLACE
PHILADELPHIA, PA
NPI
1629746904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: PA OC017968)
Enumeration Date
2021-09-01
Last Update Date
2021-09-01
Business Address
CHRISTOPHER GEORGE WALLACE OTR/L
6595 ROOSEVELT BLVD
PHILADELPHIA, PA 19149-2998
Phone number: 215-743-2332
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Mailing Address
CHRISTOPHER GEORGE WALLACE OTR/L
305 HAINES DR
NORTH WALES, PA 19454-2702
Phone number: 215-360-9314
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