Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANTHONY WALLACE
Active OrganizationPhysical Therapy Assistant · PASO ROBLES, CA
Registration Details
- NPI Number
- 1720086838
- Provider Type
- Organization
- NPI Issued
- Jul 12, 2005 (20.817676376514 yrs)
- Last Updated
- May 9, 2018
- License
-
PT 10294 (CA)
Practice Information
- Address
-
1414 PARK STPASO ROBLES, CA, 934462160Browse CA providers · Browse ZIP 93446
- Phone
- 8052370272
- Fax
- 8052372416
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.