ANTHONY WALLACE
Occupational Therapy at Park St, Lake Nacimiento, CA

License number
California PT 10294
Category
Restorative Service Providers
Type
Physical Therapist
License number
California OT 5190
Category
Restorative Service Providers
Type
Occupational Therapist
Owner
Name: MR. ANTHON PAUL WALLACE PT
Title: OWNER
Phone: (805) 237-0272
Address
Address
1414 Park St, Lake Nacimiento, CA 93446
National Provider ID: 1720086838
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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