DEBORAH ELAINE WALLACE

SYLVANIA, OH
NPI1821333113
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OH  pta-2606)
Enumeration Date2012-11-28
Last Update Date2012-11-28
Business Address
Mrs. DEBORAH ELAINE WALLACE lpta
5147 SPRING ST
SYLVANIA, OH 43560-2832
Phone number: 419-882-0427
Mailing Address
Mrs. DEBORAH ELAINE WALLACE lpta
5147 SPRING ST
SYLVANIA, OH 43560-2832
Phone number: 419-882-0427
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