Michell Wallace, PTA
Michell Wallace, PTA is a Physical Therapy Assistant in Trumbull, Connecticut. Licensed in Connecticut. Registered with an NPI since 2012.
- Licensed in
- CT
- In the registry since
- 2012
What do these letters mean?
- PTA — Physical Therapist Assistant
- Delivers treatment under a physical therapist's direction.
Practice location Address checks out
6448 Main StTrumbull, CT 06611-2075
Phone: (203) 268-6204
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 000988 (CT) |
|---|
Record details
| NPI number | 1043554413 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PTA |
| Sole proprietor | No |
| NPI enumerated | November 24, 2012 |
| Last updated in NPPES | November 24, 2012 |
| Mailing address | 2810 Old Town Rd, Bridgeport, CT 06606-1243 |
Other providers in Trumbull
-
Mr. Pascal Bur, PTA
6448 Main St, Trumbull, CT 06611-2075 · (203) 268-6204
-
Mr. Ravi B Kaufman, PTA
40 Koger Rd, Trumbull, CT 06611-4140 · (347) 834-3008
-
Suzanne Smaniotto
6949 Main St, Trumbull, CT 06611-6304 · (877) 649-1989
-
Stacy Todisco
6448 Main St, Trumbull, CT 06611-2075 · (203) 268-6204