Michelle Wallace, PT
NPI #1477808947 in Tenafly, New Jersey
Provider Information
- NPI Number
- 1477808947
- Entity Type
- Individual
- Name
- Michelle Wallace, PT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine
- Credential
- PT
- Enumeration Date
- Jul 19, 2012
- Last Updated
- Jul 19, 2012
Practice Location
- Address
- 75 NORMAN PL
- City
- Tenafly
- State
- New Jersey
- ZIP Code
- 07670-2537
- Phone
- (732) 761-0088
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine — Pediatric Rehabilitation Medicine |
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