REGINALD EUGENE WALLACE

BALTIMORE, MD
NPI1801242946
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MD  A4439)
Enumeration Date2016-05-08
Last Update Date2016-05-08
Business Address
-- REGINALD EUGENE WALLACE PTA
6137 DUNROMING RD
BALTIMORE, MD 21239-1924
Phone number: 443-610-9579
Mailing Address
-- REGINALD EUGENE WALLACE PTA
6137 DUNROMING RD
BALTIMORE, MD 21239-1924
Phone number: 443-610-9579
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