MR. Wallace Edgar Cresswell, P.T.
NPI #1740574532 in Grenada, Mississippi
Provider Information
- NPI Number
- 1740574532
- Entity Type
- Individual
- Name
- MR. Wallace Edgar Cresswell, P.T.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- P.T.
- Enumeration Date
- Jun 9, 2011
- Last Updated
- Jun 9, 2011
Practice Location
- Address
- 1855 HILL DR
- City
- Grenada
- State
- Mississippi
- ZIP Code
- 38901-5003
- Phone
- (662) 809-3339
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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