Individual provider · Type 1 NPI

Robert T. Wallace, C.PED.

Specialist · Charlotte, NC

NPI number 1194052654 Active

Practice location

2001 E 7th St
Charlotte, NC 28204-3311

Call (704) 334-1860 Map

Fax (704) 347-2785

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 1194052654

Robert T. Wallace, C.PED.'s National Provider Identifier is 1194052654, issued on Nov 4, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Charlotte, NC. The record was last updated on Nov 4, 2009.