DIANE P. WALLACE

SAN ANTONIO, TX
NPI1932226180
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: TX  101164)
Enumeration Date2007-03-23
Last Update Date2007-07-08
Business Address
-- DIANE P. WALLACE otr
15316 HUEBNER RD SUITE 202
SAN ANTONIO, TX 78248-0987
Phone number: 210-614-4567
Mailing Address
-- DIANE P. WALLACE otr
15316 HUEBNER RD SUITE 202
SAN ANTONIO, TX 78248-0987
Phone number: 210-614-4567
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