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Individual

CHRISTIAN WALLACE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 847-4100
Mailing address
2105 CONROY WAY, WILLOW SPRING, NC 27592-8780

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P24246
NC

Other

Enumeration date
11/17/2025
Last updated
11/17/2025
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