Victoria Paige Wallace, MYOFUNTIONAL THERAPY

NPI #1659221356 in Loxley, Alabama

Provider Information

NPI Number: 1659221356
Entity Type: Individual
Name: Victoria Paige Wallace, MYOFUNTIONAL THERAPY
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MYOFUNTIONAL THERAPY
Enumeration Date: Feb 2, 2026
Last Updated: Feb 2, 2026

Practice Location

Address: 5126 B AVE
City: Loxley
State: Alabama
ZIP Code: 36551-4536
Phone: (251) 895-9005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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