Individual
ANDREW WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
730 N HAMILTON ST, SPOKANE, WA 99202-2045
(509) 458-7686
Mailing address
730 N HAMILTON ST, SPOKANE, WA 99202-2045
(509) 458-7686
(509) 808-2164
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
006917
KY
225100000X
Physical Therapist
Primary
607077550707755
WA
Other
Enumeration date
11/17/2016
Last updated
02/21/2017
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