MRS. Lisa N. Wallace, LPTA

NPI #1801099767 in Lagrange, Georgia

Provider Information

NPI Number
1801099767
Entity Type
Individual
Name
MRS. Lisa N. Wallace, LPTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
LPTA
Enumeration Date
Jun 7, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1514 VERNON RD
State
Georgia
ZIP Code
30240-4131
Phone
(706) 845-3192

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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