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1851861850
GRACE WALLACE
TRAVERSE CITY, MI
NPI
1851861850
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Former Name
GRACE BLANKENHAGEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501018654)
Enumeration Date
2018-12-03
Last Update Date
2022-02-25
Business Address
GRACE WALLACE PT, DPT
550 MUNSON AVE
TRAVERSE CITY, MI 49686-3580
Phone number: 231-935-8659
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Mailing Address
GRACE WALLACE PT, DPT
1105 6TH ST
TRAVERSE CITY, MI 49684-2345
Phone number:
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