Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOUGLAS WALLACE
ActiveDOUGLAS WALLACE is a Physical Therapy Assistant healthcare provider located in WEEHAWKEN, New Jersey. NPI 1356921118 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · WEEHAWKEN, NJ
Registration Details
- NPI Number
- 1356921118
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 14, 2021 (5.1501342261584 yrs)
- Last Updated
- Apr 14, 2021
- License
-
40QA00655300 (NJ)
Practice Information
- Address
-
36 HUDSON PLWEEHAWKEN, NJ, 070867013Browse NJ providers · Browse ZIP 07086
- Phone
- 2015226474
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in WEEHAWKEN, NJ
| Name | Credential | NPI |
|---|---|---|
| PALLAVI SHAH | PHYSICAL THERAPIST | 1508887340 |
| JACLYN H FULOP | PT | 1376770420 |
| KRISTEN LEIGH TOMLINSON | MSPT | 1831463512 |
| MR. GEORGE ALEXANDER SCHLITZER | D.P.T | 1770027757 |
| ELIZABETH MANCINI | DPT | 1023660537 |
| PAIGE SMITH | — | 1598372955 |
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.