Theresa Wallace in Skokie - Physical Therapist

Theresa Wallace - NPI 1578627931

Theresa Wallace is a Physical Therapist in Skokie, Illinois. Theresa Wallace practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Theresa Wallace is 1578627931. The last update date is 2007-07-08.

Theresa Wallace's current location address is 8833 Gross Point Rd, Skokie, Illinois. You can contact this provider via phone number 8476742630 and fax number 8476744042. The mailing address for Theresa Wallace is 8833 Gross Point Rd, Skokie, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Theresa Wallace
Address 8833 Gross Point Rd, Skokie, Illinois
Phone Number 8476742630
Fax Number 8476744042
Sole Proprietor Y
Credentials PT

NPI Number Detail

NPI Number 1578627931
Provider Enumeration Date 2006-12-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 8833 Gross Point Rd
City Skokie
State Illinois (IL)
Post Code 600771859
Phone Number 8476742630
Fax Number 8476744042

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

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FAQs about Theresa Wallace

What is the unique identifier code issued to Theresa Wallace by the Centers for Medicare & Medicaid Services?

The Theresa Wallace has been assigned the NPI (National Provider Identifier) 1578627931. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Theresa Wallace located?

The Theresa Wallace is located at 8833 Gross Point Rd, Skokie, IL 600771859.

What is Theresa Wallace's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Theresa Wallace is Physical Therapist, and the taxonomy classification code that categorizes this area of expertise is 225100000X.

On what date did the Theresa Wallace receive its 1578627931 assignment from the Centers for Medicare & Medicaid Services?

The Theresa Wallace was assigned its 1578627931 by the Centers for Medicare & Medicaid Services on 2006-12-20.

As of what date was the information regarding Theresa Wallace, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Theresa Wallace, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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