Michell Wallace, PTA Valid NPI

Individual provider · Physical Therapy Assistant · Trumbull, CT

NPI

1043554413

Type

Individual (Type 1)

Primary specialty

Physical Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225200000X

License number

000988 (CT)

Sex

Female

Sole proprietor

No

Enumerated

2012-11-24

Last updated

2012-11-24