Individual provider · Type 1 NPI

John M. Wallace, LO

Orthotist · Houston, TX

NPI number 1487912382 Active

Practice location

11155 Main St
Houston, TX 77025-5600

Call (713) 474-4171 Map

Fax (713) 747-4249

Specialties and licenses

TaxonomyCodeLicense
Orthotist Primary 222Z00000X171 (TX)

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 1487912382

John M. Wallace, LO's National Provider Identifier is 1487912382, issued on Apr 27, 2012. The primary taxonomy on file is Orthotist (222Z00000X), and the practice location is in Houston, TX. The record was last updated on Apr 27, 2012.