ANTHONY PAUL WALLACE

ATASCADERO, CA
NPI1891793923
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  10294)
Enumeration Date2005-07-12
Last Update Date2022-08-10
Business Address
Mr. ANTHONY PAUL WALLACE P.T.
5255 EL CAMINO REAL STE C
ATASCADERO, CA 93422-3351
Phone number: 805-237-0272
Mailing Address
Mr. ANTHONY PAUL WALLACE P.T.
5255 EL CAMINO REAL STE C
ATASCADERO, CA 93422-3351
Phone number: 805-237-0272