Organization
ANTHONY WALLACE
Active
Other names
Paso Robles Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY PAUL WALLACE PT (OWNER)
(805) 237-0272
Entity
Organization
Contact information
Practice address
1414 PARK ST, PASO ROBLES, CA 93446-2160
(805) 237-0272
(805) 237-2416
Mailing address
5255 EL CAMINO REAL STE C, ATASCADERO, CA 93422-3351
(805) 237-0272
(805) 237-2416
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 10294
CA
Other
Enumeration date
07/12/2005
Last updated
05/09/2018
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