Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. ALISSA NICOLE WALLACE, P.T.
Active Sole ProprietorMRS. ALISSA NICOLE WALLACE, P.T. is a Physical Therapy Assistant healthcare provider located in ARCADIA, Indiana. NPI 1144244179 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · ARCADIA, IN
Registration Details
- NPI Number
- 1144244179
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 26, 2006 (20.052289715939 yrs)
- Last Updated
- May 22, 2008
- License
-
05006292A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
25590 CORNELL RDARCADIA, IN, 460309612Browse IN providers · Browse ZIP 46030
- Phone
- 3176975759
- Primary Specialty
-
Physical Therapy Assistant
225100000X
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.