Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID R WALLACE, PT
Active Sole ProprietorPhysical Therapy Assistant · OXFORD, MS
Registration Details
- NPI Number
- 1760626576
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 23, 2009 (17.006778835813 yrs)
- Last Updated
- Apr 23, 2009
- License
-
PT2738 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2170 S LAMAR BLVDOXFORD, MS, 386555224Browse MS providers · Browse ZIP 38655
- Phone
- 6622348559
- Fax
- 6622347923
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in OXFORD, MS
| Name | Credential | NPI |
|---|---|---|
| MR. MICHAEL G FULTON | P. T. | 1710982673 |
| MR. CASEY J. CLARK | P.T. | 1174528871 |
| MRS. DENE M. FULTON | P.T. | 1558366252 |
| KRISTEN F. HILL | P.T. | 1710978515 |
| MR. BRIAN KYLE WICKER | PT | 1437185188 |
| MR. ANDREW ASHBY BUGLEWICZ | PT | 1003842634 |
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.