WALLACE WILSON

ANCHORAGE, AK
NPI1730423666
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: AK  1625)
Enumeration Date2012-11-15
Last Update Date2012-11-15
Business Address
-- WALLACE WILSON MSPT
701 SESAME ST SUITE 101
ANCHORAGE, AK 99503-6647
Phone number: 907-561-2260
Mailing Address
-- WALLACE WILSON MSPT
701 SESAME ST SUITE 101
ANCHORAGE, AK 99503-6647
Phone number: