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GRANT WALLACE, DPT

DPT

Physical Therapist

NPI: 1386514339IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physical TherapistPrimary

Physical Therapist

Code: 225100000X

PT43773(FL)

CMS Specialties

PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE

Education

OTHER

Class of 2025

Contact & Hours

Via practice · 4 locations total

Address
1890 Lpga Blvd Ste 240
Daytona Beach, FL 32117

Quick Facts

NPI
1386514339
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
4
Years in Practice
1

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