Camron Wallace
Camron Wallace is a Physical Therapist in Private Practice in Shelby, North Carolina. Qualified in 2024, 2 years ago. Practices with Ivyrehab North Carolina LLC, a 154-clinician group and accepts Medicare assignment. Licensed in North Carolina.
- Years since qualifying
- 2
- Licensed in
- NC
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
1129 E Marion StShelby, NC 28150-4843
Phone: (704) 471-0001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence P23482 (NC) |
|---|---|
| Orthopedic Physical Therapist | Taxonomy 2251X0800X |
Record details
| NPI number | 1306685722 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 23, 2024 |
| Last updated in NPPES | August 13, 2024 |
| Certification date | August 13, 2024 |
| Mailing address | 1416 Crestview Dr, Shelby, NC 28150-4267 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Ivyrehab North Carolina Llc — 154 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Shelby
-
Brittany Ann Buxton
1129 E Marion St, Shelby, NC 28150-4843 · (704) 471-0001
-
Mark Trimble
1129 E Marion St, Shelby, NC 28150-4843 · (704) 471-0001