Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Josiah Wallace

Individual provider Physical Therapy Assistant · NPI 1679456701

Josiah Wallace is a Physical Therapy Assistant in Flint, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

1032 S Linden Rd
Flint, MI 48532-3458
Phone: (810) 733-3833
Fax: (810) 733-1072
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5502008887APP25 (MI)

Record details

NPI number1679456701
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 28, 2025
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025
Mailing address5405 Laurene St, Flint, MI 48505-2572

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