MR. James Victor Wallace, PT
NPI #1407081649 in New Hartford, New York
Provider Information
- NPI Number
- 1407081649
- Entity Type
- Individual
- Name
- MR. James Victor Wallace, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- May 18, 2009
- Last Updated
- May 18, 2009
Practice Location
- Address
- 2050 TILDEN AVE
- Address 2
- BOX 1000
- City
- New Hartford
- State
- New York
- ZIP Code
- 13413-3613
- Phone
- (315) 797-3114
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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