IAN WALLACE

WEXFORD, PA
NPI1699385708
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: PA  OC016573)
Enumeration Date2020-08-04
Last Update Date2020-08-04
Business Address
IAN WALLACE
10475 PERRY HWY STE 106G
WEXFORD, PA 15090-9213
Phone number: 877-407-3422
Mailing Address
IAN WALLACE
7 CARNEGIE PLZ
CHERRY HILL, NJ 08003-1000
Phone number: 877-407-3422