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1841841384
GRACE E WALLACE
CLINTON TWP, MI
NPI
1841841384
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501019380)
Enumeration Date
2019-09-26
Last Update Date
2020-08-26
Business Address
GRACE E WALLACE DPT
21550 HARRINGTON ST STE D
CLINTON TWP, MI 48036-2362
Phone number: 586-783-7590
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Mailing Address
GRACE E WALLACE DPT
1773 STAR BATT DR
ROCHESTER HILLS, MI 48309-3708
Phone number: 248-601-9207
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