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Gary Wallace, PTA
NPI 1003009184 · on the registry since 2007
Practice
- Address
- 13 Northtown Dr
Trinity Rehab Suite 110
Jackson, MS 39211 - Phone
- (601) 206-9195
- Fax
- (601) 957-8391
- Organisation at this address
- Homecare Hospice, Llc
H & R Healthcare, Llc
Providence Hospice, Llc
Geriatric Services, Inc.
Trinity Rehabilitation IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 69
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-08-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi