Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRANDON WALLACE, PT
ActiveBRANDON WALLACE, PT is a Physical Therapy Assistant healthcare provider located in SOUTHFIELD, Michigan. NPI 1700395274 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SOUTHFIELD, MI
Registration Details
- NPI Number
- 1700395274
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 27, 2017 (8.8826473690089 yrs)
- Last Updated
- Sep 27, 2017
- License
-
5501018432 (MI)
Practice Information
- Address
-
29900 SOUTHFIELD RDSOUTHFIELD, MI, 480762090Browse MI providers · Browse ZIP 48076
- Phone
- 2486630400
- Fax
- 2486215003
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SOUTHFIELD, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. REBECCA KANTOR | MPT | 1962478099 |
| MRS. MICHELE G WEISS | PT | 1649239070 |
| MR. SANJAY UPPAL | P.T, MHS | 1508827544 |
| MRS. ARCHANA UPPAL | P.T, MHS | 1871554816 |
| MS. JOAN CHRISTINE SACKSTEDER | P.T. | 1457312167 |
| MR. GEORGE O ANDOOPARAMPIL | PT | 1548223639 |
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.