Dr. James Preston Wallace II, DPT
Clinic/Center, Physical Therapy in Castle Rock, CO. Individual provider (NPI-1).
NPI number1982173571
StatusActive
Last updated in NPPESNov 13, 2018
Details
- NPI
- 1982173571
- Entity type
- Individual (NPI-1)
- Name
- Dr. James Preston Wallace II
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 13, 2018
- Last updated
- Nov 13, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | PTL.0016065 | CO | Yes |
Practice location
6234 Castlegate Dr W Apt 8112Castle Rock, CO 80108-8655
Phone 281-728-2981
Mailing address
6234 Castlegate Dr W Apt 8112Castle Rock, CO 80108-8655
Phone 281-728-2981
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All 12 Physical Therapy Clinic/Center providers in Castle Rock · All 1,947 providers in Castle Rock
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