Individual
JULIA WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4924 CAMPBELL BLVD STE 130A, NOTTINGHAM, MD 21236-5909
(443) 442-2810
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
28968
MD
Other
Enumeration date
06/20/2022
Last updated
04/13/2026
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