Individual
CAMRON WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1129 E MARION ST, SHELBY, NC 28150-4843
(704) 471-0001
Mailing address
1416 CRESTVIEW DR, SHELBY, NC 28150-4267
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P23482
NC
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
05/23/2024
Last updated
08/13/2024
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