SearchIndianaPhysical Therapy Assistant

James Wallace, PTA

NPI 1356686877 · on the registry since 2012

Practice

Address
449 Main St Apt 131
Anderson, IN 46016
Phone
(765) 683-0633
Fax
(765) 683-0603
Organisation at this address
1019 Vermilion Place Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-12-10

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 Indiana