MS. Sandi H Wallace, PT

NPI #1255351813 in Homer, New York

Provider Information

NPI Number: 1255351813
Entity Type: Individual
Name: MS. Sandi H Wallace, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jul 19, 2006
Last Updated: Oct 10, 2008

Practice Location

Address: 59 A JAMES ST.
City: Homer
State: New York
ZIP Code: 13077
Phone: (315) 416-4327

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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