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John M Wallace, LO
Orthotist in Houston, Texas
NPI 1487912382

John M Wallace is a Orthotist based in Houston, TX. John M Wallace practices in Houston, TX and has the professional credentials of LO. The NPI Number for John M Wallace is 1487912382 and holds a License No. 171 (Texas).

The current practice location address for John M Wallace is 11155 Main St, Houston, TX and can be reached out via phone at 713-474-4171 and via fax at 713-747-4249.

Location: 11155 Main St, Houston, TX, 77025-5600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487912382
Provider Name
John M Wallace
Credential
LO
Provider Entity Type
Individual
Gender
Male
Address
11155 Main St, Houston, TX, 77025-5600
Phone Number
713-474-4171
Fax Number
713-747-4249
Provider Enumeration Date
04/27/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11155 Main St
City
Houston
State
Texas
Zip
77025-5600
Phone Number
713-474-4171
Fax Number
713-747-4249
person
Provider Business Mailing Address Details
Address
11155 Main St
City
Houston
State
Texas
Zip
77025-5600
Phone Number
713-474-4171
Fax Number
713-747-4249
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
171 (Texas)
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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