MRS. JUDY WALLIS, PTA
Physical Therapy Assistant
Active
Individual
NPI: 1356558324
Practice Address
MARYWOOD HEALTH CENTER111 LAKESIDE DRIVE NE
Grand Rapids, MI 49503
Phone: (616) 453-7715
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes | - |
Frequently Asked Questions
NPI 1356558324 is the National Provider Identifier for MRS. JUDY WALLIS, PTA, a Physical Therapy Assistant provider located in Grand Rapids, MI. This NPI was enumerated on May 17, 2007.
MRS. JUDY WALLIS, PTA practices at MARYWOOD HEALTH CENTER, 111 LAKESIDE DRIVE NE, Grand Rapids, MI 49503.
Quick Facts
- NPI
- 1356558324
- Type
- Individual
- Enumerated
- May 17, 2007
- Last Updated
- Dec 7, 2018
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