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Michael Wallace, DPT
NPI 1881368561 · on the registry since 2021
Practice
- Address
- 3440 Highway 81
Loganville, GA 30052 - Phone
- (770) 554-5009
- Fax
- (706) 546-8792
- Organisation at this address
- Athens Orthopedic Clinic, Pa
Athens Orthopedic Clinic Ambulatory Surgery Center-Loganville, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 18
Registry record
- Primary taxonomy
- Physical Therapist
225100000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-11
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