Search › Louisiana › 225X00000X
Jonathan Wallace, LOTR
NPI 1770219693 · on the registry since 2022 · sole proprietor
Practice
- Address
- 870 Highway 516
Heflin, LA 71039 - Phone
- (318) 614-5684
- Organisation at this address
- A To Z Therapy Solutions
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-25
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 Louisiana