Mason Wallace
Mason Wallace is a Physical Therapist in Alexandria, Virginia. Licensed in Virginia. Registered with an NPI since 2015.
- Licensed in
- VA
- In the registry since
- 2015
Practice location Address checks out
209 Madison St Ste LL2Alexandria, VA 22314-1764
Phone: (703) 299-6688
Fax: (703) 299-3588
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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 2305209278 (VA) |
|---|
Record details
| NPI number | 1033500525 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 5, 2015 |
| Last updated in NPPES | February 5, 2015 |
| Mailing address | 209 Madison St, Suite Ll2, Alexandria, VA 22314-1764 |
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Donald Charles Weatherhead, DPT
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