Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. BRANDI WALLACE, HAIR LOSS SPECIALIST
ActiveMRS. BRANDI WALLACE, HAIR LOSS SPECIALIST is a Physical Therapist Assistant healthcare provider located in SALISBURY, Maryland. NPI 1457019135 is currently active in the NPPES registry. Verify at CMS.
Physical Therapist Assistant · SALISBURY, MD
Registration Details
- NPI Number
- 1457019135
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 30, 2021 (4.7352110061754 yrs)
- Last Updated
- Dec 31, 2021
- License
-
418829 (MD)
Practice Information
- Address
-
235 W MAIN ST STE ESALISBURY, MD, 218014868Browse MD providers · Browse ZIP 21801
- Phone
- 4434472028
- Primary Specialty
-
Physical Therapist Assistant
1744P3200X
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.