Individual
MR. JAMES ALEXANDER WALLACE III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1000 LOCUST ST, RENO, NV 89502-2597
(775) 786-7200
(775) 337-2260
Mailing address
4967 FOXCREEK TRL, RENO, NV 89509-8026
(775) 786-7200
(775) 337-2260
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4184
CO
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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