DAVID R WALLACE

OXFORD, MS
NPI1760626576
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MS  PT2738)
Enumeration Date2009-04-23
Last Update Date2009-04-23
Business Address
-- DAVID R WALLACE PT
2170 S LAMAR BLVD
OXFORD, MS 38655-5224
Phone number: 662-234-8559
Mailing Address
-- DAVID R WALLACE PT
2170 S. LAMAR BLVD
OXFORD, MS 38655
Phone number: 662-234-8559
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