Individual
JOSIAH WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1032 S LINDEN RD, FLINT, MI 48532-3458
(810) 733-3833
(810) 733-1072
Mailing address
5405 LAURENE ST, FLINT, MI 48505-2572
(810) 733-1072
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502008887APP25
MI
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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