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

RYAN JAMES WALLACE, PT, DPT, OCS, MTC

Active

RYAN JAMES WALLACE, PT, DPT, OCS, MTC is a Physical Therapy Assistant healthcare provider located in BONITA SPRINGS, Florida. NPI 1568420354 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · BONITA SPRINGS, FL

Registration Details

NPI Number: 1568420354
Provider Type: Individual
Gender: Male
NPI Issued: May 2, 2006 (20.103758848389 yrs)
Last Updated: May 12, 2015
License: PT 18604 (FL)

Practice Information

Address: 25241 ELEMENTARY WAY

STE 200

BONITA SPRINGS, FL, 341357883
Browse FL providers · Browse ZIP 34135
Phone: 2399474184
Fax: 2399474171
Primary Specialty: Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in BONITA SPRINGS, FL

Name	Credential	NPI
MS. WENDY G HUELSMAN	MSPT	1437126604
MR. MICHAEL EMIL KRIZ	MSPT, OCS	1922076892
MRS. SANDRA LEE KLASSEN	MS PT AT C	1710955687
MS. REGAN BRYNN ROMANOSKI	PT	1932177623
DR. ERIC ELDON DOUGLASS	PT, DPT, OCS	1265490049
DR. MICHAEL EMMANUEL RUBINO	DPT, MTC	1508824269

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.