| Mr Brian Leslie Wallace, MS PT | |
|
901 Halstead Blvd, Elizabeth City, NC 27909-6920 | |
| (252) 338-0137 | |
| Not Available |
| Full Name | Mr Brian Leslie Wallace |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 901 Halstead Blvd, Elizabeth City, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790888501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 10128 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Brian Leslie Wallace, MS PT 1105 W Church St, Elizabeth City, NC 27909-4609 Ph: (252) 338-5948 | Mr Brian Leslie Wallace, MS PT 901 Halstead Blvd, Elizabeth City, NC 27909-6920 Ph: (252) 338-0137 |
Beverly Armstrong Smith, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 615 S Hughes Blvd Ste B, Elizabeth City, NC 27909 Phone: 252-335-2087 | |
Dr. Daniel David Metzger, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 405 E Main St, Unit 2, Elizabeth City, NC 27909 Phone: 252-966-0077 | |
Dr. Justyn Jay Yager, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 Medical Dr, Elizabeth City, NC 27909 Phone: 252-338-2114 Fax: 252-338-2115 | |
Dr. Travis Patrick Nestlerode, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 405 E Main St, Suite 2, Elizabeth City, NC 27909 Phone: 704-692-0317 Fax: 252-966-0077 | |
Mrs. Jessica Blystone Yager, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 Medical Drive, Elizabeth City, NC 27909 Phone: 252-338-2114 Fax: 252-338-2115 | |
Michael Martin Adams, DPT MBA CMT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 405 E Main St, Elizabeth City, NC 27909 Phone: 252-966-0077 | |
Mrs. Kelley Stamey, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 Medical Dr, Elizabeth City, NC 27909 Phone: 252-338-2114 Fax: 252-338-2115 |