JOHN R WALLACE

Dr JOHN R WALLACE is a male medical professional, specializing in Physical Therapy. He graduated in 1992.

Contact

103 W WOOD HILL DR
SUITE A
NAGS HEAD
NC
279599395

Tel: 2524418580

JOHN R WALLACE Information

Npi 1275663916
Pac Id 1759416563
Professional Enrollment Id I20100318000660
Last Name WALLACE
First Name JOHN
Middle Name R
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1992
Primary Specialty PHYSICAL THERAPY
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Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
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Number Of Group Practice Members
Line 1 Street Address 103 W WOOD HILL DR
Line 2 Street Address SUITE A
Marker Of Address Line 2 Suppression
City NAGS HEAD
State NC
Zip Code 279599395
Phone Number 2524418580
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Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
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Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
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Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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