Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. COLBY EVAN WALLACE, D.P.T.
ActiveDR. COLBY EVAN WALLACE, D.P.T. is a Neurology (Occupational Therapy) healthcare provider located in ATLANTA, Georgia. NPI 1457806622 is currently active in the NPPES registry. Verify at CMS.
Neurology (Occupational Therapy) · ATLANTA, GA
Registration Details
- NPI Number
- 1457806622
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 17, 2016 (10.016782736114 yrs)
- Last Updated
- Aug 17, 2016
- License
-
PT012499 (GA)
Practice Information
- Address
-
12 EXECUTIVE PARK DR NEATLANTA, GA, 303292206Browse GA providers · Browse ZIP 30329
- Phone
- 4047783444
- Primary Specialty
-
Neurology (Occupational Therapy)
2251N0400X
Other Neurology (Occupational Therapy) Providers in ATLANTA, GA
| Name | Credential | NPI |
|---|---|---|
| DR. SARAH RICHARDSON BLANTON | DPT | 1750481602 |
| MS. AMY JO ROBINSON | PHYSICAL THERAPIST | 1962537688 |
| LAURA LYNN ZAJAC-COX | PT, NCS | 1881729440 |
| MRS. KELLY IMES | DPT | 1841326204 |
| MRS. MYRTICE BARBER ATRICE | PT | 1396928644 |
| NIAMH TUNNEY | PT | 1124321666 |
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.