Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER L WALLACE, P.T.
ActivePhysical Therapy Assistant · SAINT PETERSBURG, FL
Registration Details
- NPI Number
- 1306035431
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 15, 2007 (18.557483835489 yrs)
- Last Updated
- May 3, 2010
- Licenses
-
22282 (FL)070.009079 (IL)
Practice Information
- Address
-
3891 50TH AVE SSAINT PETERSBURG, FL, 337114811Browse FL providers · Browse ZIP 33711
- Phone
- 6305544701
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in SAINT PETERSBURG, FL
| Name | Credential | NPI |
|---|---|---|
| MS. KATHLEEN MARIE SORRENTO | P.T. | 1205833803 |
| BIANCA LYDIA HORNIK | M.P.T. | 1710023387 |
| CHERIE LYNNE WARING | MSPT | 1093854267 |
| RICHARD ANTHONY REDENBO | RPT | 1205042538 |
| KAREN SUE BREEDLOVE | PT | 1679783500 |
| CHELSEA MOORE FULFORD | — | 1861645343 |
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.