Bridson Wallace

NPI #1942879697 in Chester Springs, Pennsylvania

Provider Information

NPI Number: 1942879697
Entity Type: Individual
Name: Bridson Wallace
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jun 17, 2021
Last Updated: Jun 17, 2021

Practice Location

Address: 163 POTTSTOWN PIKE
City: Chester Springs
State: Pennsylvania
ZIP Code: 19425-9518
Phone: (610) 458-6464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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