National Provider Identifier

Marsha A Wallace, PT

Marsha A Wallace, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Dansville, NY and a listed phone number of (585) 335-4239.

NPI 1073671319Dansville, NYPhysical Therapist

Profile Overview

NPI
1073671319
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
December 05, 2006
Last Updated
July 08, 2007

Practice Location

  • 111 Clara Barton St
  • Dansville, NY 14437-9503

Phone: (585) 335-4239

Mailing Address

  • 10218 County Route 92
  • Wayland, NY 14572-9418

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1073671319
Entity Type
Individual
Last Name
Wallace
First Name
Marsha
Middle Name
A
Credential
PT
Mailing Street Address
10218 County Route 92
Mailing City
Wayland
Mailing State
NY
Mailing ZIP Code
14572-9418
Mailing Country
US
Mailing Phone
(585) 728-2079
Practice Street Address
111 Clara Barton St
Practice City
Dansville
Practice State
NY
Practice ZIP Code
14437-9503
Practice Country
US
Practice Phone
(585) 335-4239
Practice Fax
(585) 335-4295
Enumeration Date
December 05, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)