Douglas Wallace

NPI #1356921118 in Weehawken, New Jersey

Provider Information

NPI Number
1356921118
Entity Type
Individual
Name
Douglas Wallace
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Enumeration Date
Apr 14, 2021
Last Updated
Apr 14, 2021

Practice Location

Address
36 HUDSON PL
ZIP Code
07086-7013
Phone
(201) 522-6474

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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