Individual provider · Type 1 NPI

Glenn Wallace

Rehabilitation Practitioner · Boulder City, NV

NPI number 1013410778 Active

Practice location

200 Wilson Cir
Boulder City, NV 89005-4401

Call (702) 294-7100 Map

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1013410778

Glenn Wallace's National Provider Identifier is 1013410778, issued on Mar 8, 2018. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Boulder City, NV. The record was last updated on Mar 8, 2018.