Madisen Wallace, PT, DPT

NPI #1821847153 in Lima, Ohio

Provider Information

NPI Number: 1821847153
Entity Type: Individual
Name: Madisen Wallace, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: May 17, 2024
Last Updated: May 18, 2024

Practice Location

Address: 3477 S DIXIE HWY
City: Lima
State: Ohio
ZIP Code: 45804-3706
Phone: (567) 356-4385

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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