Melissa A Wallace, PT

NPI #1275545964 in Avon, Ohio

Provider Information

NPI Number: 1275545964
Entity Type: Individual
Name: Melissa A Wallace, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1502 TRAVELERS PT
City: Avon
State: Ohio
ZIP Code: 44011-4046
Phone: (440) 934-8184

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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