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Gayle Wallace, PTA
NPI 1164153409 · on the registry since 2022 · sole proprietor
Practice
- Address
- 40778 Rainier Dr
Sterling Heights, MI 48313 - Phone
- (586) 819-6887
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-06-17
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 Michigan