Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOHN ROBERT WALLACE, MSPT
Active Sole ProprietorMR. JOHN ROBERT WALLACE, MSPT is a Physical Therapy Assistant healthcare provider located in NAGS HEAD, North Carolina. NPI 1275663916 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · NAGS HEAD, NC
Registration Details
- NPI Number
- 1275663916
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 6, 2007 (19.437741386829 yrs)
- Last Updated
- Mar 10, 2020
- License
-
5301 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
103 W WOODHILL DRSUITE ANAGS HEAD, NC, 27959Browse NC providers · Browse ZIP 27959
- Phone
- 2524418580
- Fax
- 2524419551
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in NAGS HEAD, NC
| Name | Credential | NPI |
|---|---|---|
| JORDAN ROSENBERGER | — | 1023407129 |
| KELLY RANEY | PT | 1477053726 |
| GILLIAN LENNOX STEWART | DPT | 1295333250 |
| ELIZABETH L BRENNAN | PT | 1649001462 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.