Individual provider · Type 1 NPI

Rebecca Wallace

Specialist · Victor, NY

NPI number 1083379705 Active

Practice location

590 Fishers Station Dr Ste 130
Victor, NY 14564-9744

Call (585) 924-7207 Map

Mailing address

PO Box 142
Mendon, NY 14506-0142

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1083379705

Rebecca Wallace's National Provider Identifier is 1083379705, issued on Nov 8, 2021. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Victor, NY. The record was last updated on Nov 8, 2021.