MRS. LAURIE ANN WALLACE, MPT, ATC
Physical Therapy at Wisnom Ave, San Mateo, CA

License number
California PT18527
Category
Restorative Service Providers
Type
Physical Therapist
License number
California P11059
Category
Restorative Service Providers
Type
Physical Therapist
License number
California AL617
Category
Restorative Service Providers
Type
Athletic Trainer
License number
California 42268
Category
Restorative Service Providers
Type
Physical Therapist
License number
California 6058
Category
Restorative Service Providers
Type
Physical Therapist
Address
Address
438 Wisnom Ave, San Mateo, CA 94401
Phone
(772) 321-4992
National Provider ID: 1770704306
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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