Individual
EMILY PAIGE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
7530 HIGHWAY 44 STE 108, GONZALES, LA 70737-8137
(225) 258-9480
Mailing address
7530 HIGHWAY 44 STE 108, GONZALES, LA 70737-8137
(225) 258-9480
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08092
LA
Other
Enumeration date
06/16/2011
Last updated
10/24/2024
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