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

WALLACE WILSON, MSPT

Active Sole Proprietor

WALLACE WILSON, MSPT is a Physical Therapy Assistant healthcare provider located in ANCHORAGE, Alaska. NPI 1730423666 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · ANCHORAGE, AK

Registration Details

NPI Number
1730423666
Provider Type
Individual
Gender
Male
NPI Issued
Nov 15, 2012 (13.704320847313 yrs)
Last Updated
Nov 15, 2012
License
1625 (AK)
Sole Proprietor
Yes

Practice Information

Address
701 SESAME ST
SUITE 101
ANCHORAGE, AK, 995036647
Browse AK providers · Browse ZIP 99503
Phone
9075612260
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in ANCHORAGE, AK

Name Credential NPI
SUSAN KATHERINE RYZNAR MPT 1144221557
MS. CATHERINE A COWARD MSPT 1013900927
MR. LESLIE D HARPEL LPT 1558355891
JOYCE BARNETT PT 1609845932
DONALD A MORMILE PT 1376503888
TIMOTHY BLIZZARD PT 1073576088
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.