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1669610432
TERRANCE TERRELL WALLACE
BIRMINGHAM, AL
NPI
1669610432
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AL 10546)
Enumeration Date
2009-01-31
Last Update Date
2009-01-31
Business Address
Dr. TERRANCE TERRELL WALLACE D.P.T
700 19TH ST S # 5-YT
BIRMINGHAM, AL 35233-1927
Phone number: 205-933-8101
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Mailing Address
Dr. TERRANCE TERRELL WALLACE D.P.T
3101 LORNA RD 1325
BIRMINGHAM, AL 35216-5455
Phone number: 205-447-5570
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