Elizabeth Wallace, PT

NPI #1083017206 in Knightdale, North Carolina

Provider Information

NPI Number: 1083017206
Entity Type: Individual
Name: Elizabeth Wallace, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Oct 1, 2014
Last Updated: Oct 1, 2014

Practice Location

Address: 1004 OAKGROVE DR
City: Knightdale
State: North Carolina
ZIP Code: 27545-9295
Phone: (919) 880-0718

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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