Individual
DAVID WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
275 MOUNT CARMEL AVE, HAMDEN, CT 06518-1908
(203) 582-8234
Mailing address
275 MOUNT CARMEL AVE, HAMDEN, CT 06518-1908
(203) 582-8234
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
005919
CT
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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