MICHAEL WALLACE
Physical Therapy Assistant
Active
Individual
NPI: 1609356864
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes | 2027639 (TX) |
Frequently Asked Questions
NPI 1609356864 is the National Provider Identifier for MICHAEL WALLACE, a Physical Therapy Assistant provider located in San Angelo, TX. This NPI was enumerated on August 17, 2018.
MICHAEL WALLACE practices at 5455 KNICKERBOCKER RD, San Angelo, TX 76904.
Quick Facts
- NPI
- 1609356864
- Type
- Individual
- Enumerated
- Aug 17, 2018
- Last Updated
- Aug 17, 2018
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