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Individual

JOHN E WALLACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1060 NIMITZVIEW DR STE 205, CINCINNATI, OH 45230-4351
(513) 474-8600
(513) 474-0623
Mailing address
7567 CENTRAL PARKE BLVD STE A, MASON, OH 45040-6855
(513) 701-6100
(513) 701-6106

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-017396
OH

Other

Enumeration date
05/17/2018
Last updated
05/17/2018
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