Individual provider · Type 1 NPI

James Lewis Wallace Jr., CPO

Orthotist · Charlotte, NC

NPI number 1396891933 Active

Practice location

1901 Brunswick Ave, Suite 200
Charlotte, NC 28207-2809

Call (704) 348-4488 Map

Fax (704) 348-4496

Mailing address

PO Box 24905
Winston Salem, NC 27114-4905

Specialties and licenses

TaxonomyCodeLicense
Orthotist Primary 222Z00000XNone listed
Prosthetist 224P00000XNone listed

Orthotist: A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement th…

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About NPI 1396891933

James Lewis Wallace Jr., CPO's National Provider Identifier is 1396891933, issued on Jan 26, 2007. The primary taxonomy on file is Orthotist (222Z00000X), and the practice location is in Charlotte, NC. The record was last updated on Jul 23, 2010.