Richard D Wallis JR., PT

NPI #1215036181 in Brooklyn, Ohio

Provider Information

NPI Number: 1215036181
Entity Type: Individual
Name: Richard D Wallis JR., PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Sep 21, 2006
Last Updated: Jul 12, 2007

Practice Location

Address: 7580 NORTHCLIFF AVE
Address 2: BUILDING B SUITE 700
City: Brooklyn
State: Ohio
ZIP Code: 44144-3270
Phone: (216) 363-2044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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