William Todd Wallace, PT

NPI #1598028474 in Texarkana, Texas

Provider Information

NPI Number
1598028474
Entity Type
Individual
Name
William Todd Wallace, PT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Jun 16, 2012
Last Updated
Jun 16, 2012

Practice Location

Address
8225 COYOTE TRL
State
Texas
ZIP Code
75503-9657
Phone
(903) 223-6942

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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