Individual provider · Type 1 NPI

Mechelle Dion Wallace

Rehabilitation Practitioner · Madera, CA

NPI number 1649390790 Active

Practice location

126 N B St
Madera, CA 93638-3219

Call (559) 661-5194 Map

Fax (559) 661-5149

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 1649390790

Mechelle Dion Wallace's National Provider Identifier is 1649390790, issued on Mar 30, 2007. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Madera, CA. The record was last updated on Jul 8, 2007.