Georgiana Wallace
Georgiana Wallace is an Athletic Trainer in Ithaca, New York. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
953 Danby RdIthaca, NY 14850-7002
Phone: (240) 429-6986
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1427929843 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 17, 2025 |
| Last updated in NPPES | September 17, 2025 |
| Certification date | September 17, 2025 |
| Mailing address | 953 Danby Rd, Ithaca, NY 14850-7002 |
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