Individual
GIANNA WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3331 STREET RD STE 310, BENSALEM, PA 19020-2023
(215) 639-8216
Mailing address
475 ALLENDALE RD STE 206, KING OF PRUSSIA, PA 19406-1495
(610) 270-0370
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT029904
PA
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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