Gary Robert Wallace PTA

  • NPI 1003009184
According to our database, the NPI number for Gary Robert Wallace PTA is 1003009184 and activated since 16 years ago. Gary Robert Wallace PTA is an individual provider who specializes in Physical Therapy Assistant, and the primary practice location is 13 Northtown Dr, Jackson, MS 39211. You can also contact Gary Robert Wallace PTA via telephone number is (601) 206-9195. Provider NPI information was last updated on 08/22/2007.

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Overview of Gary Robert Wallace PTA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 08/22/2007
  • Last updated: 08/22/2007

Primary Scrop of Practice

  • Taxonomy Code: 225200000X
  • Specialty: Physical Therapy Assistant
  • License Number: A2636
  • License State: LA

Provider Mailing Address

  • Address: 13 Northtown Dr
    Suite 110 Trinity Rehab
    Jackson, MS 39211
  • Phone: 601-206-9195
  • Fax: 601-957-8391

Provider Practice Location

  • Address: 13 Northtown Dr
    Trinity Rehab Suite 110
    Jackson, MS 39211
  • Phone: 601-206-9195
  • Fax: 601-957-8391

Scope of Practice

  • Taxonomy Code: 225200000X
  • Specialty: Physical Therapy Assistant
  • License Number: A2636
  • License State: LA
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Gary Robert Wallace PTA?
  • A: The npi number for Gary Robert Wallace PTA is 1003009184.
  • Q: What are Gary Robert Wallace PTA's specialties?
  • A: Gary Robert Wallace PTA's specialties are Physical Therapy Assistant and different specialities.
  • Q: What is the medical license for Gary Robert Wallace PTA?
  • A: The medical license number for Gary Robert Wallace PTA is A2636 and issued in LA in USA.
  • Q: Where is Gary Robert Wallace PTA practice location?
  • A: Gary Robert Wallace PTA is practicing at 13 Northtown Dr, Jackson, MS 39211.
  • Q: How to contact Gary Robert Wallace PTA?
  • A: You can contact Gary Robert Wallace PTA via 601-206-9195.