Individual provider · Type 1 NPI

Josiah Wallace

Physical Therapy Assistant · Flint, MI

NPI number 1679456701 Active

Practice location

1032 S Linden Rd
Flint, MI 48532-3458

Fax (810) 733-1072

Mailing address

5405 Laurene St
Flint, MI 48505-2572

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X5502008887APP25 (MI)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1679456701

Josiah Wallace's National Provider Identifier is 1679456701, issued on Jul 28, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Flint, MI. The record was last updated on Jul 28, 2025.