Linda W Wallace, PT | |
11740 Columbia St, Blakely, GA 39823-2574 | |
(229) 724-4269 | |
(229) 723-2354 |
Full Name | Linda W Wallace |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 11740 Columbia St, Blakely, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184802787 | NPI | - | NPPES |
688951544A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT0009259 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Linda W Wallace, PT 11740 Columbia St, Blakely, GA 39823-2574 Ph: (229) 724-4269 | Linda W Wallace, PT 11740 Columbia St, Blakely, GA 39823-2574 Ph: (229) 724-4269 |
Jeffrey E. Tardif, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11740 Columbia St, Blakely, GA 39823 Phone: 229-723-4241 | |
Nicholas James Long, Physical Therapist Medicare: Medicare Enrolled Practice Location: 11740 Columbia St, Blakely, GA 39823 Phone: 229-723-2930 |