Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY WALLACE, PT
ActiveKIMBERLY WALLACE, PT is a Physical Therapy Assistant healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1114926698 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1114926698
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 18, 2005 (21.0335843375 yrs)
- Last Updated
- Apr 18, 2008
- License
-
PT007970L (PA)
Practice Information
- Address
-
420 BAINBRIDGE ST453 LOWER INDIAN HEAD ROADPHILADELPHIA, PA, 191471568Browse PA providers · Browse ZIP 19147
- Phone
- 2156293837
- Fax
- 2156295531
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| BEVERLY R. SAMSON | PT | 1972501336 |
| STEPHANIE SELLECCHIA | DPT | 1760480933 |
| MR. JOSEPH T. RUHL JR. | PT, ATC | 1639177744 |
| DR. SARAH BROOK WENGER | PT, DPT, OCS | 1417956137 |
| MRS. DEBORAH MARIE LYNCH-JOHNSON | PT, CERT MDT | 1962401521 |
| MR. MARK ALLEN DONATHAN | MPT | 1760481154 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.