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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RICHARD D WALLIS JR., PT

Active

RICHARD D WALLIS JR., PT is a Physical Therapy Assistant healthcare provider located in BROOKLYN, Ohio. NPI 1215036181 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · BROOKLYN, OH

Registration Details

NPI Number
1215036181
Provider Type
Individual
Gender
Male
NPI Issued
Sep 21, 2006 (19.852011057232 yrs)
Last Updated
Jul 12, 2007
License
PT007073 (OH)

Practice Information

Address
7580 NORTHCLIFF AVE
BUILDING B SUITE 700
BROOKLYN, OH, 441443270
Browse OH providers · Browse ZIP 44144
Phone
2163632044
Fax
2167418525
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in BROOKLYN, OH

Name Credential NPI
STEPHANIE E VOSS PT 1194823070
ELAINE ALLEN PT 1740388768
DAVID SCOTTON P.T. 1992823769
DAVID SCHORDOCK PT, DPT 1760872295
DR. KASEY ANN JONES PT, DPT 1376038802
RACHEL ANN SOUDERS DPT 1144916651
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.