Devon Wallace, DPT

NPI #1770099244 in Front Royal, Virginia

Provider Information

NPI Number: 1770099244
Entity Type: Individual
Name: Devon Wallace, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Dec 20, 2017
Last Updated: Mar 17, 2018

Practice Location

Address: 101 W 14TH ST
City: Front Royal
State: Virginia
ZIP Code: 22630-3607
Phone: (540) 636-3500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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