Search › Mississippi › 225100000X
David Wallace, PT
NPI 1760626576 · on the registry since 2009 · sole proprietor
Practice
- Address
- 2170 S Lamar Blvd
Oxford, MS 38655 - Phone
- (662) 234-8559
- Fax
- (662) 234-7923
- Organisation at this address
- Angela Riley, Md, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-04-23
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 Mississippi