Linda W Wallace, PT

NPI #1184802787 in Blakely, Georgia

Provider Information

NPI Number: 1184802787
Entity Type: Individual
Name: Linda W Wallace, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Feb 6, 2008
Last Updated: Jun 25, 2015

Practice Location

Address: 11740 COLUMBIA ST
City: Blakely
State: Georgia
ZIP Code: 39823-2574
Phone: (229) 724-4269

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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