PETER KENNEDY WALLACE

CEDAR CITY, UT
NPI1992273841
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: UT  10533523-4201)
Enumeration Date2018-11-08
Last Update Date2018-11-08
Business Address
PETER KENNEDY WALLACE OTR/L
166 W 1325 N STE 100
CEDAR CITY, UT 84721-7793
Phone number: 435-586-0064
Mailing Address
PETER KENNEDY WALLACE OTR/L
652 S MEDICAL CENTER DR
ST GEORGE, UT 84790-7049
Phone number: 435-251-3760
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