MICHAEL WALLACE, PT
Physical Therapist
Active
Individual
NPI: 1578556312
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 1953 (NM) |
Frequently Asked Questions
NPI 1578556312 is the National Provider Identifier for MICHAEL WALLACE, PT, a Physical Therapist provider located in Alamogordo, NM. This NPI was enumerated on August 26, 2005.
MICHAEL WALLACE, PT practices at 2351 INDIAN WELLS, Alamogordo, NM 88310.
Quick Facts
- NPI
- 1578556312
- Type
- Individual
- Enumerated
- Aug 26, 2005
- Last Updated
- Jun 21, 2011
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