Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LAURIE ANN WALLACE, MPT, ATC
Active Sole ProprietorMRS. LAURIE ANN WALLACE, MPT, ATC is a Physical Therapy Assistant healthcare provider located in BURLINGAME, California. NPI 1770704306 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BURLINGAME, CA
Registration Details
- NPI Number
- 1770704306
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 1, 2007 (19.311695282163 yrs)
- Last Updated
- Feb 27, 2019
- Licenses
-
PT18527 (FL)AL617 (FL)42268 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
130 LOMA VISTA DRBURLINGAME, CA, 94010Browse CA providers · Browse ZIP 94010
- Phone
- 7723214992
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Athletic Trainer
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in BURLINGAME, CA
| Name | Credential | NPI |
|---|---|---|
| JANICE COAKLEY | — | 1780654020 |
| MARK CALDERBANK | P.T. | 1407806813 |
| FAYEZA F MULLAMITHAWALA | P.T. | 1043241797 |
| MISS GRACE MAGPANTAY MENESES | PT | 1316054471 |
| MRS. BETTY CARROLA | PT | 1912008293 |
| MR. STEVAN ALLEN | MA PT | 1841381639 |
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.