Individual provider · Type 1 NPI

Lataunya B. Wallace, P.T.

Physical Therapist · Clinton, MS

NPI number 1891010435 Active

Practice location

102 Woodchase Park Dr
Clinton, MS 39056-4113

Call (601) 924-7043 Map

Fax (601) 924-8633

Mailing address

359 Brookwood Lake Pl
Jackson, MS 39272-5648

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000XPT1460 (MS)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1891010435

Lataunya B. Wallace, P.T.'s National Provider Identifier is 1891010435, issued on Apr 6, 2010. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Clinton, MS. The record was last updated on Apr 6, 2010.