MRS. Bethann Wallace, PT

NPI #1942464219 in Staunton, Virginia

Provider Information

NPI Number: 1942464219
Entity Type: Individual
Name: MRS. Bethann Wallace, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jul 15, 2008
Last Updated: Jul 15, 2008

Practice Location

Address: 1416 CHURCHVILLE AVE
Address 2: SUITE A
City: Staunton
State: Virginia
ZIP Code: 24401-1718
Phone: (540) 213-0345

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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