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Richard Wallace, PT

NPI 1023242112 · on the registry since 2009 · sole proprietor

Practice

Address
1034 Buchanan Bridge Rd
Chesterfield, SC 29709
Phone
(843) 623-9232
Fax
(843) 320-1003

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-05-05

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 South Carolina