Individual
SHEILA WALLITSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
831 TEHUACANA HWY, MEXIA, TX 76667
(254) 562-3867
Mailing address
804 CRESTLINE DR, MEXIA, TX 76667-8006
(254) 625-2680
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2113600
TX
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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