GARY ROBERT WALLACE, PTA

NPI: 1003009184 · Individual · Active

Primary Specialty

Physical Therapy Assistant

Practice Location

13 NORTHTOWN DR
TRINITY REHAB SUITE 110
JACKSON, MS 39211 Map ↗
Phone: 601-206-9195
Fax: 601-957-8391

All Specialties & Licenses

  • Physical Therapy Assistant Primary (license: A2636, LA)

NPI Registration

Enumerated: 2007-08-22

Last CMS Update: 2007-08-22