Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. EDWIN RUSH WALLACE III, MPT
ActiveMR. EDWIN RUSH WALLACE III, MPT is a Physical Therapy Assistant healthcare provider located in PLAINSBORO, New Jersey. NPI 1790968154 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PLAINSBORO, NJ
Registration Details
- NPI Number
- 1790968154
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 7, 2007 (18.676330449586 yrs)
- Last Updated
- Oct 31, 2024
- Licenses
-
CP031482T (NJ)2305005465 (VA)
Practice Information
- Address
-
100 PLAINSBORO RDPLAINSBORO, NJ, 085361914Browse NJ providers · Browse ZIP 08536
- Phone
- 5713703686
- Fax
- 5713703687
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in PLAINSBORO, NJ
| Name | Credential | NPI |
|---|---|---|
| DANIEL MARK SMIRES | PT | 1215026836 |
| MR. BRIAN CHARLES EDGERLY | P.T. | 1831257476 |
| MICHELE CATHERINE CONNOLLY | MHS,PT | 1134276553 |
| MR. MICHAEL MAYKISH | PT | 1477608313 |
| DR. YVONNE P VAN BOCHOVE | PT,DPT,MA | 1629196506 |
| MELODY SANTOS | — | 1346463817 |
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.