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Mechelle Dion Wallace
Rehabilitation Practitioner in Madera, California
NPI 1649390790

Mechelle Dion Wallace is a Rehabilitation Practitioner based in Madera, CA. Mechelle Dion Wallace practices in Madera, CA. The NPI Number for Mechelle Dion Wallace is 1649390790 and holds a License No. (California).

The current practice location address for Mechelle Dion Wallace is 126 N B St, Madera, CA and can be reached out via phone at 559-661-5194 and via fax at 559-661-5149.

Location: 126 N B St, Madera, CA, 93638-3219
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649390790
Provider Name
Mechelle Dion Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
126 N B St, Madera, CA, 93638-3219
Phone Number
559-661-5194
Fax Number
559-661-5149
Provider Enumeration Date
03/30/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
126 N B St
City
Madera
State
California
Zip
93638-3219
Phone Number
559-661-5194
Fax Number
559-661-5149
person
Provider Business Mailing Address Details
Address
126 N B St
City
Madera
State
California
Zip
93638-3219
Phone Number
559-661-5194
Fax Number
559-661-5149
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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