ANDREA WALLACE

PORT HURON, MI
NPI1902116122
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501010425)
Enumeration Date2010-10-21
Last Update Date2010-10-21
Business Address
-- ANDREA WALLACE PT
1231 PINE GROVE AVE SUITE 1A
PORT HURON, MI 48060-3500
Phone number: 810-985-6300
Mailing Address
-- ANDREA WALLACE PT
1231 PINE GROVE AVE SUITE 1A
PORT HURON, MI 48060-3500
Phone number: 810-985-6300
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