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John Wallace, MSPT
NPI 1275663916 · on the registry since 2007 · sole proprietor
Practice
- Address
- 103 W Woodhill Dr
Suite A
Nags Head, NC 27959 - Phone
- (252) 441-8580
- Fax
- (252) 441-9551
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-03-10
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 North Carolina