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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WILLIAM C WALLACE, PT

Active

WILLIAM C WALLACE, PT is a Physical Therapy Assistant healthcare provider located in LEBANON, Tennessee. NPI 1508880493 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LEBANON, TN

Registration Details

NPI Number
1508880493
Provider Type
Individual
Gender
Male
NPI Issued
Jul 26, 2006 (20.054725671381 yrs)
Last Updated
Jun 7, 2013
License
PT 4793 (TN)

Practice Information

Address
1113 N CASTLE HEIGHTS AVE
SUITE D
LEBANON, TN, 370875640
Browse TN providers · Browse ZIP 37087
Phone
6159659000
Fax
6159659001
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in LEBANON, TN

Name Credential NPI
OLEG URBAN PT 1548261118
MRS. LAURA M. BATTS D.P.T. 1114928777
FRANK B DUCHESNE III PT 1821099292
GRETCHEN DENE ETHEREDGE PT 1720089196
JONATHON CASEY MCGEE D.P.T. 1013918499
TANYA G WOLFE PT 1528037868
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.