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Dr. Colby Evan Wallace, DPT
Neurology Physical Therapist in Atlanta, Georgia
NPI 1457806622

Colby Evan Wallace is a Neurology Physical Therapist based in Atlanta, GA and is specialized in Neurology. Colby Evan Wallace practices in Atlanta, GA and has the professional credentials of DPT. The NPI Number for Colby Evan Wallace is 1457806622 and holds a License No. PT012499 (Georgia).

The current practice location address for Colby Evan Wallace is 12 Executive Park Dr Ne, Atlanta, GA and can be reached out via phone at 404-778-3444. You can also correspond with Colby Evan Wallace through the mailing address at 7208 NORTHLAKE HEIGHTS CIR NE, ATLANTA, GA - 30345-2262 (mailing address contact number: 615-653-9596).

Location: 12 Executive Park Dr Ne, Atlanta, GA, 30345-2262
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Provider Profile Details
NPI Number
1457806622
Provider Name
Colby Evan Wallace
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
12 Executive Park Dr Ne, Atlanta, GA, 30345-2262
Phone Number
404-778-3444
Fax Number
Provider Enumeration Date
08/17/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12 Executive Park Dr Ne
City
State
Zip
30329-2206
Phone Number
404-778-3444
Fax Number
person
Provider Business Mailing Address Details
Address
7208 Northlake Heights Cir Ne
City
State
Zip
30345-2262
Phone Number
615-653-9596
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Neurology
Taxonomy
License No.
PT012499 (Georgia)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.
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