Individual
ALLAN JAMES WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
10605 CONCORD ST STE 105, KENSINGTON, MD 20895-2500
(301) 946-7717
Mailing address
3016 FAYETTE RD, KENSINGTON, MD 20895-2747
(443) 465-4013
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26029
MD
Other
Enumeration date
08/16/2016
Last updated
01/26/2023
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