Individual
CHRISTOPHER WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16333 CHAGRIN BLVD, CLEVELAND, OH 44120-3711
(877) 931-4144
Mailing address
16333 CHAGRIN BLVD, CLEVELAND, OH 44120-3711
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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