DEREK WALLACE
Restorative Service Providers at Rosenberger Ave, Evansville, IN

License number
Indiana 06001705A
Category
Restorative Service Providers
Type
Physical Therapy Assistant
Address
Address
150 N Rosenberger Ave, Evansville, IN 47712
Phone
(812) 491-3856
National Provider ID: 1083925283
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Derek Wallace, age 77
5340 Woodfield Dr N, Carmel, IN 46033
(317) 319-6606
Derek Wallace, age 62
5477 Kenwood Cir, Newburgh, IN 47630
(812) 599-7112
Derek Wallace
11027 N Burton Pl, Clinton, IN 47842
Derek Wallace, age 59
1315 Swinney Ave, Fort Wayne, IN 46802
Derek M Wallace, age 77
5340 Woodfield Way, Carmel, IN 46033
(317) 816-0836

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