BRIAN LESLIE WALLACE

FORT LIBERTY, NC
NPI1790888501
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NC  10128)
Additional Taxonomies2251X0800X Physical Therapist, Orthopedic
(Licence: NC  10128)
Enumeration Date2006-09-07
Last Update Date2025-01-13
Business Address
Mr. BRIAN LESLIE WALLACE PT, DPT, OCS
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
FORT LIBERTY, NC 28310-6920
Phone number: 910-907-8922
Mailing Address
Mr. BRIAN LESLIE WALLACE PT, DPT, OCS
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
FORT LIBERTY, NC 28310-0001
Phone number: 910-807-8922