Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TODD J WALLACE, PT
ActiveTODD J WALLACE, PT is a Physical Therapy Assistant healthcare provider located in CARY, Illinois. NPI 1346424660 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · CARY, IL
Registration Details
- NPI Number
- 1346424660
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 21, 2007 (18.623079751154 yrs)
- Last Updated
- Nov 4, 2011
- License
-
070016043 (IL)
Practice Information
- Address
-
2615 THREE OAKS RDSUITE 1ACARY, IL, 600136123Browse IL providers · Browse ZIP 60013
- Phone
- 8475168095
- Fax
- 8475168098
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in CARY, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. TAMMY LYNN BARUTH | DPT | 1366554925 |
| MRS. DEBORAH M GULBRANDSON | PT | 1730254202 |
| BRENT M BUSSE | PT | 1922282243 |
| JENNIFER J SCHAFFER | PT | 1366626681 |
| RICK A STOJAK | PT | 1174707491 |
| KURTIS CYLE VANALSTINE | DPT | 1780835777 |
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.