Individual
DR. JAMES PRESTON WALLACE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6234 CASTLEGATE DR W APT 8112, CASTLE ROCK, CO 80108-8655
(281) 728-2981
Mailing address
6234 CASTLEGATE DR W APT 8112, CASTLE ROCK, CO 80108-8655
(281) 728-2981
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PTL.0016065
CO
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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