MR. Mario James Wallace, PT, DPT

NPI #1043064009 in New York, New York

Provider Information

NPI Number
1043064009
Entity Type
Individual
Name
MR. Mario James Wallace, PT, DPT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist - Orthopedic
Credential
PT, DPT
Enumeration Date
Apr 16, 2024
Last Updated
Apr 16, 2024

Practice Location

Address
235 W 75TH ST
ZIP Code
10023-0328
Phone
(646) 518-5559

Specialties & Taxonomy Codes

Specialty
Physical Therapist - OrthopedicOrthopedic

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