Bethann Wallace

NPI 1396809125 - Physical Therapist - 225100000X

NPI Details
NPI 1396809125
Enumeration Date 12/19/2006
Last Updated 07/14/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BETHANN BETHANN
Position OWNER
Phone (540) 213-0345
Fax (540) 886-2609
Practice Location
1416 CHURCHVILLE AVE
SUITE A
STAUNTON VA, 24401, US
Phone (540) 213-0345
Fax (540) 886-2609
Business Location
1416 CHURCHVILLE AVE
SUITE A
STAUNTON VA, 24401, US
Phone (540) 213-0345
Fax (540) 886-2609
Toxanomy
Taxonomy Code 225100000X
License State Virginia
License Number 235005465
Remove 1396809125 NPI Number
 

According to our database, Bethann Wallace NPI is 1396809125, taxonomy code is 225100000X and license number is 235005465, license state is located at Virginia. Bethann Wallace physically located at 1416 Churchville Ave, Staunton VA, 24401. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1396809125 NPI number is provided on an as is basis without warranty of any kind. 1396809125 is maintained by the National Plan & Provider Enumeration System. The contents of Bethann Wallace are for informational purposes only.