Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE MARIE WALLACE, PT
Active Sole ProprietorNICOLE MARIE WALLACE, PT is a Specialist healthcare provider located in VIRGINIA BEACH, Virginia. NPI 1609089028 is currently active in the NPPES registry. Verify at CMS.
Specialist · VIRGINIA BEACH, VA
Registration Details
- NPI Number
- 1609089028
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 8, 2007 (19.269139238181 yrs)
- Last Updated
- Mar 18, 2019
- License
-
2305203070 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
913 FIRST COLONIAL RD STE 204VIRGINIA BEACH, VA, 234543198Browse VA providers · Browse ZIP 23454
- Phone
- 7575500725
- Primary Specialty
-
Specialist
174400000X
- Additional Specialty
- Children's Hospital
Other Specialist Providers in VIRGINIA BEACH, VA
| Name | Credential | NPI |
|---|---|---|
| SHAWNE RENEE BRYANT | M.D. | 1942203773 |
| DR. RAMESH B KADAKKAL | MD | 1306847629 |
| DR. SREEJA KADAKKAL | M.D. | 1811998016 |
| DR. GOVINDAN K PALAT | M.D. | 1619969615 |
| DR. ARTHUR RUSSELL DUNNINGTON | M.D. | 1770570533 |
| DR. GARY RICHARD SIEGEL | M.D. | 1952398778 |
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.