LOGAN WALLACE

ANKENY, IA
NPI1720798325
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IA  110010)
Enumeration Date2022-12-05
Last Update Date2022-12-05
Business Address
LOGAN WALLACE
715 SW ANKENY RD
ANKENY, IA 50023-9798
Phone number: 870-307-8900
Mailing Address
LOGAN WALLACE
208 TODD CIR
AMES, IA 50014-7731
Phone number: 870-307-8900
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