LATAUNYA WALLACE, P.T.
Physical Therapist
Active
Individual
NPI: 1891010435
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | PT1460 (MS) |
Frequently Asked Questions
NPI 1891010435 is the National Provider Identifier for LATAUNYA WALLACE, P.T., a Physical Therapist provider located in Clinton, MS. This NPI was enumerated on April 6, 2010.
LATAUNYA WALLACE, P.T. practices at 102 WOODCHASE PARK DR, Clinton, MS 39056.
Quick Facts
- NPI
- 1891010435
- Type
- Individual
- Enumerated
- Apr 6, 2010
- Last Updated
- Apr 6, 2010
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