GRACE WALLACE

TRAVERSE CITY, MI
NPI1851861850
Former NameGRACE BLANKENHAGEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501018654)
Enumeration Date2018-12-03
Last Update Date2022-02-25
Business Address
GRACE WALLACE PT, DPT
550 MUNSON AVE
TRAVERSE CITY, MI 49686-3580
Phone number: 231-935-8659
Mailing Address
GRACE WALLACE PT, DPT
1105 6TH ST
TRAVERSE CITY, MI 49684-2345
Phone number:
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