ALICIA A WALLACE

ALBERT LEA, MN
NPI1952052060
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MN  A1345)
Enumeration Date2022-01-11
Last Update Date2022-01-11
Business Address
ALICIA A WALLACE PTA
1861 EAGLE VIEW CIR
ALBERT LEA, MN 56007-1818
Phone number: 507-373-2040
Mailing Address
ALICIA A WALLACE PTA
PO BOX 277
GENEVA, MN 56035-0277
Phone number: 507-383-4787
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