MRS. Alissa Nicole Wallace, P.T.

NPI #1144244179 in Arcadia, Indiana

Provider Information

NPI Number: 1144244179
Entity Type: Individual
Name: MRS. Alissa Nicole Wallace, P.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Jul 26, 2006
Last Updated: May 22, 2008

Practice Location

Address: 25590 CORNELL RD
City: Arcadia
State: Indiana
ZIP Code: 46030-9612
Phone: (317) 697-5759

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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