STEVEN JAMES WALLACE

WORCESTER, MA
NPI1922461847
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy222Q00000X Developmental Therapist
(Licence: MA  S38883561)
Enumeration Date2016-03-29
Last Update Date2016-03-29
Business Address
-- STEVEN JAMES WALLACE
345A GREENWOOD ST STE B
WORCESTER, MA 01607-1753
Phone number: 508-363-0200
Mailing Address
-- STEVEN JAMES WALLACE
345A GREENWOOD ST STE B
WORCESTER, MA 01607-1753
Phone number: 508-363-0200