Anthony Wallace
NPI #1720086838 in Paso Robles, California
Provider Information
- NPI Number
- 1720086838
- Entity Type
- Organization
- Organization Name
- Anthony Wallace
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jul 12, 2005
- Last Updated
- May 9, 2018
Practice Location
- Address
- 1414 PARK ST
- City
- Paso Robles
- State
- California
- ZIP Code
- 93446-2160
- Phone
- (805) 237-0272
Authorized Official
- Name
- MR. ANTHONY PAUL WALLACE, PT
- Title
- OWNER
- Phone
- (805) 237-0272
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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