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1982346722
IAN CARROLL WALLACE
HOUSTON, TX
NPI
1982346722
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1220166)
Enumeration Date
2022-04-12
Last Update Date
2022-04-12
Business Address
IAN CARROLL WALLACE PT
10125 KATY FWY STE 100
HOUSTON, TX 77024-1287
Phone number: 713-984-6270
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Mailing Address
IAN CARROLL WALLACE PT
2314 WILLOW COVE DR
ROSHARON, TX 77583-3227
Phone number: 832-483-4291
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