DAWN MICHELLE WALLACE

MADISON, AL
NPI1861679060
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AL  0754)
Enumeration Date2008-01-30
Last Update Date2010-11-30
Business Address
Miss DAWN MICHELLE WALLACE COTA/L
97 HUGHES RD STE H
MADISON, AL 35758-3401
Phone number: 256-883-7338
Mailing Address
Miss DAWN MICHELLE WALLACE COTA/L
97 HUGHES RD STE H
MADISON, AL 35758-3401
Phone number: 256-883-7338