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THERESA WALLACE, PA-C, ATC
PA-C, ATC
Physician Assistant
NPI: 1437404548IndividualAccepts Medicare
Specialties, Licenses & Credentials
Athletic Trainer
Specialist/Technologist — Athletic Trainer
Code: 2255A2300X
AL2836(FL)
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
PA9113017(FL)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2019
Contact & Hours
Via practice · 7 locations total
- Address
- 1890 Lpga Blvd Ste 240
Daytona Beach, FL 32117 - Phone
- (386) 255-4596
Locations (7)
Practice Location
1890 Lpga Blvd Ste 240, Daytona Beach, FL
(386) 255-4596
Practice Location
1075 MASON AVE, DAYTONA BEACH, FL
(386) 255-4596
Practice Location
1865 LPGA BLVD, DAYTONA BEACH, FL
(386) 255-4596
Practice Location
1325 SAN MARCO BLVD, JACKSONVILLE, FL
(904) 858-7045
Practice Location
17 OLD KINGS RD N STE K, PALM COAST, FL
(386) 255-4596
Practice Location
1165 Dunlawton Ave Ste 102, Port Orange, FL
(386) 255-4596
Practice Location
1175 DUNLAWTON AVE STE 1, PORT ORANGE, FL
(386) 255-4596
Quick Facts
- NPI
- 1437404548
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 7
- Years in Practice
- 7
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