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1770099244
DEVON WALLACE
FRONT ROYAL, VA
NPI
1770099244
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305211669)
Enumeration Date
2017-12-20
Last Update Date
2018-03-17
Business Address
DEVON WALLACE DPT
101 W 14TH ST
FRONT ROYAL, VA 22630-3607
Phone number: 540-636-3500
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Mailing Address
DEVON WALLACE DPT
1808 PLAZA DR
WINCHESTER, VA 22601-6365
Phone number: 540-665-2750
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