Gary Robert Wallace, PTA
Gary Robert Wallace, PTA is a Physical Therapy Assistant in Jackson, Mississippi. Licensed in Louisiana. Registered with an NPI since 2007.
- Licensed in
- LA
- In the registry since
- 2007
What do these letters mean?
- PTA — Physical Therapist Assistant
- Delivers treatment under a physical therapist's direction.
Practice location Address checks out
13 Northtown Dr Trinity Rehab Ste 110Jackson, MS 39211
Phone: (601) 206-9195
Fax: (601) 957-8391
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence A2636 (LA) |
|---|
Record details
| NPI number | 1003009184 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PTA |
| Sole proprietor | No |
| NPI enumerated | August 22, 2007 |
| Last updated in NPPES | August 22, 2007 |
| Mailing address | 13 Northtown Dr, Suite 110 Trinity Rehab, Jackson, MS 39211 |
Other providers in Jackson
-
Heath Herndon Smylie
6250 Old Canton Rd, Jackson, MS 39211-2946 · (601) 968-1000
-
Lauren Ashley Stuart, PTA
4607 Lindbergh Dr, Jackson, MS 39209-3855 · (601) 203-6378
-
Carmen Leigh Taylor, LPTA
13 Northtown Dr Ste 110, Jackson, MS 39211-3047 · (601) 206-9195
-
Lauren Brown Taylor, LPTA
13 Northtown Dr Trinity Rehab Ste 110, Jackson, MS 39211 · (601) 206-9195
-
Corey White, PTA
1190 N State St Pt Dept, Jackson, MS 39202-2413 · (601) 968-1148
-
Jessica Whitehead, PTA
4607 Lindbergh Dr, Jackson, MS 39209-3855 · (601) 203-6379
-
Olivia Grace Wilson, PTA
1650 Lelia Dr, Jackson, MS 39216-4864 · (601) 397-6390
-
Candice Magee Wolken, LPTA
13 Northtown Dr Trinity Rehab Ste 110, Jackson, MS 39211 · (601) 206-9195