Georgiana Wallace

NPI #1427929843 in Ithaca, New York

Provider Information

NPI Number
1427929843
Entity Type
Individual
Name
Georgiana Wallace
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
Sep 17, 2025
Last Updated
Sep 17, 2025

Practice Location

Address
953 DANBY RD
City
Ithaca
ZIP Code
14850-7002
Phone
(240) 429-6986

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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