SearchGeorgia2255A2300X

Brianna Wallace, LAT, ATC

NPI 1851047757 · on the registry since 2022 · sole proprietor

Practice

Address
1400 Highway 76 E
Hiawassee, GA 30546
Phone
(706) 374-4014
Organisation at this address
Towns County School System
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-08-22

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 Georgia