| Lataunya B Wallace, PT | |
|
102 Woodchase Park Dr, Clinton, MS 39056-4113 | |
| (601) 924-7043 | |
| (601) 924-8633 |
| Full Name | Lataunya B Wallace |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 102 Woodchase Park Dr, Clinton, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891010435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT1460 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lataunya B Wallace, PT 359 Brookwood Lake Pl, Jackson, MS 39272-5648 Ph: (601) 924-7043 | Lataunya B Wallace, PT 102 Woodchase Park Dr, Clinton, MS 39056-4113 Ph: (601) 924-7043 |
Jordan Jenkins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 E Northside Dr, Clinton, MS 39056 Phone: 601-924-0645 Fax: 601-607-1375 | |
Andrew Lambert, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 703 Clinton Pkwy, Clinton, MS 39056 Phone: 601-708-4205 | |
Erica Goldsmith, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 719 Clinton Pkwy Ste B, Clinton, MS 39056 Phone: 601-924-7828 Fax: 601-924-3979 | |
Elite Sports Medicine & Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 719 Clinton Pkwy, Suite B, Clinton, MS 39056 Phone: 601-924-7828 Fax: 601-924-3979 | |
Mark Page Miller Jr., DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 703 Clinton Pkwy, Clinton, MS 39056 Phone: 601-708-4205 Fax: 601-708-4707 | |
David M Gibbs, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 506 Merganser Trl, Clinton, MS 39056 Phone: 601-497-0107 | |
Sarah Newell, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 322 Highway 80 E Ste 10&11, Clinton, MS 39056 Phone: 601-460-0910 Fax: 601-460-0911 |