MANDY L WALLACE

FLORENCE, SC
NPI1962776948
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: SC  4051)
Enumeration Date2012-03-08
Last Update Date2012-03-08
Business Address
MS. MANDY L WALLACE MSRPT
121 E CEDAR ST
FLORENCE, SC 29506-2576
Phone number: 843-661-3426
Mailing Address
MS. MANDY L WALLACE MSRPT
1465 NORWOOD RD
OLANTA, SC 29114-9533
Phone number: 843-687-2068