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
- City
- Weehawken
- State
- New Jersey
- ZIP Code
- 07086-7013
- Phone
- (201) 522-6474
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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