MRS. Julie M Wallace, PT

NPI #1275562753 in Fayetteville, New York

Provider Information

NPI Number: 1275562753
Entity Type: Individual
Name: MRS. Julie M Wallace, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jun 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 510 TOWNE DR
Address 2: SUITE 100
City: Fayetteville
State: New York
ZIP Code: 13066-1331
Phone: (315) 637-4747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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