Individual provider · Type 1 NPI

Marie L. Wallace, CPC PERMIT #IP150410

Rehabilitation Practitioner · Las Vegas, NV

NPI number 1548525934 Active

Practice location

3606 North Roncho Dr, Suite 102
Las Vegas, NV 89130

Call (504) 400-5768 Map

Mailing address

10327 Birch Bluff Ln
Las Vegas, NV 89145

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 1548525934

Marie L. Wallace, CPC PERMIT #IP150410's National Provider Identifier is 1548525934, issued on Jul 11, 2012. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Las Vegas, NV. The record was last updated on May 15, 2015.