Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COLLIN WILLIAM WALLACE, DPT
Active Sole ProprietorCOLLIN WILLIAM WALLACE, DPT is a Ergonomics (Occupational Therapy) healthcare provider located in RIVERVIEW, Florida. NPI 1568830719 is currently active in the NPPES registry. Verify at CMS.
Ergonomics (Occupational Therapy) · RIVERVIEW, FL
Registration Details
- NPI Number
- 1568830719
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 4, 2015 (10.946435627091 yrs)
- Last Updated
- Mar 2, 2026
- Licenses
-
PT30787 (FL)PT30787 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11375 BIG BEND RDRIVERVIEW, FL, 335797183Browse FL providers · Browse ZIP 33579
- Phone
- 8138058167
- Fax
- 8442141382
- Primary Specialty
-
Ergonomics (Occupational Therapy)
2251X0800X
- Additional Specialty
- Ergonomics (Occupational Therapy)
Other Ergonomics (Occupational Therapy) Providers in RIVERVIEW, FL
| Name | Credential | NPI |
|---|---|---|
| TARA LYNN GAUSE | PT | 1689630980 |
| MRS. ELIZABETH J KUBA | DPT | 1972720340 |
| DR. NICHOLAS TANNER | — | 1033784210 |
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.