SCOTT R WALLACE

SACRAMENTO, CA
NPI1982775615
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  26235)
Enumeration Date2006-11-13
Last Update Date2021-12-30
Business Address
-- SCOTT R WALLACE
1650 RESPONSE RD
SACRAMENTO, CA 95815-4807
Phone number: 916-614-4256
Mailing Address
-- SCOTT R WALLACE
1650 RESPONSE RD
SACRAMENTO, CA 95815-4807
Phone number:
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