Bethann Wallace

NPI #1396809125 in Staunton, Virginia

Provider Information

NPI Number: 1396809125
Entity Type: Organization
Organization Name: Bethann Wallace
Primary Specialty: Physical Therapist
Enumeration Date: Dec 19, 2006
Last Updated: Jul 14, 2008

Practice Location

Address: 1416 CHURCHVILLE AVE
Address 2: SUITE A
City: Staunton
State: Virginia
ZIP Code: 24401
Phone: (540) 213-0345

Authorized Official

Name: MRS. BETHANN WALLACE, PT PHYSICAL THERAPIS
Title: OWNER
Phone: (540) 213-0345

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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