ELLIE CLAIRE WALLACE

MESA, AZ
NPI1962096891
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AZ  CP034759T)
Additional Taxonomies225100000X Physical Therapist
(Licence: KS  11-06685)
225100000X Physical Therapist
(Licence: IA  106104)
Enumeration Date2021-02-22
Last Update Date2024-10-24
Business Address
ELLIE CLAIRE WALLACE PT, DPT
10165 E HAMPTON AVE STE 11
MESA, AZ 85209-3327
Phone number: 480-354-5424
Mailing Address
ELLIE CLAIRE WALLACE PT, DPT
1200 CORPORATE DR STE 400
HOOVER, AL 35242-5424
Phone number: 866-518-0283