SearchPennsylvania225100000X

Donald Wallace, PT

NPI 1497078893 · on the registry since 2010 · sole proprietor

Practice

Address
605 W State St
First Floor
Media, PA 19063
Phone
(610) 566-7424
Fax
(610) 892-0489
Clinicians at this address
21

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-03-12

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 Pennsylvania