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1912673815
NATALIE WALLACE
ROYAL OAK, MI
NPI
1912673815
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201011091)
Enumeration Date
2021-08-19
Last Update Date
2021-08-19
Business Address
NATALIE WALLACE OTR/L
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6712
Phone number: 248-898-5000
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Mailing Address
NATALIE WALLACE OTR/L
409 E 9 MILE RD # RE307
FERNDALE, MI 48220-3027
Phone number:
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