Todd J Wallace, PT

NPI #1346424660 in Cary, Illinois

Provider Information

NPI Number
1346424660
Entity Type
Individual
Name
Todd J Wallace, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Dec 21, 2007
Last Updated
Nov 4, 2011

Practice Location

Address
2615 THREE OAKS RD
Address 2
SUITE 1A
City
Cary
ZIP Code
60013-6123
Phone
(847) 516-8095

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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