Sharon Wallace

NPI #1831085745 in Longview, Texas

Provider Information

NPI Number: 1831085745
Entity Type: Individual
Name: Sharon Wallace
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jun 16, 2025
Last Updated: Jun 16, 2025

Practice Location

Address: 109 W HOYT DR
City: Longview
State: Texas
ZIP Code: 75601-3614
Phone: (430) 201-5645

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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