Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA WALLACE
Active Sole ProprietorJESSICA WALLACE is a Physical Therapy Assistant healthcare provider located in LA PLATA, Maryland. NPI 1760206460 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LA PLATA, MD
Registration Details
- NPI Number
- 1760206460
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 11, 2024 (1.7600298389501 yrs)
- Last Updated
- Nov 11, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
101 CENTENNIAL ST STE CLA PLATA, MD, 206465976Browse MD providers · Browse ZIP 20646
- Phone
- 3013923700
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in LA PLATA, MD
| Name | Credential | NPI |
|---|---|---|
| SHERWIN RODRIGUEZ NOL | PT | 1639195548 |
| DR. JANE CUNNINGHAM | P.T. | 1619987955 |
| SUSAN PETERSON | PT | 1104908540 |
| MS. ALICIA NICOLE BEATTY | P.T. | 1548385297 |
| JOSHUA TENNANT | P.T. | 1033304381 |
| MISS LOURDES BERNADETTE VERDERA POTESTADES | PT, DPT, OCS | 1053590125 |
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.