| Ms Sandi H Wallace, PT | |
|
59 A James St., Homer, NY 13077 | |
| (315) 416-4327 | |
| (866) 550-6451 |
| Full Name | Ms Sandi H Wallace |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 59 A James St., Homer, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255351813 | NPI | - | NPPES |
| 000158099 | Other | NY | EXCELLUS |
| 364724 | Other | NY | MVP |
| P00162216 | Other | NY | MEDICARE RAILROAD |
| 02458611 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 017462-1 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Sandi H Wallace, PT 59 A James St., Homer, NY 13077 Ph: (315) 416-4327 | Ms Sandi H Wallace, PT 59 A James St., Homer, NY 13077 Ph: (315) 416-4327 |
Ppn Ipa Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 84 Cortland St, Homer, NY 13077 Phone: 607-749-2219 Fax: 607-749-2286 | |
John C Cognato, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 84 Cortland St, Homer, NY 13077 Phone: 607-749-2219 Fax: 607-749-2286 | |
Mrs. Stephanie A Partis, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 84 Cortland St, Homer, NY 13077 Phone: 607-749-2219 Fax: 607-749-2286 | |
Dr. Ehren Paul Heyer, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 84 Cortland St., Homer, NY 13077 Phone: 607-749-2219 Fax: 607-749-2286 | |
Wallace Physical Therapy, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 59a James St, Homer, NY 13077 Phone: 315-416-4327 Fax: 607-749-5618 |