Katie A Wallace in Woburn - Physical Therapist
Katie A Wallace - NPI 1417992538
Katie A Wallace is a Physical Therapist in Woburn, Massachusetts. Katie A Wallace practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Katie A Wallace is 1417992538. The last update date is 2022-09-09.
Katie A Wallace's current location address is 1 Arrow Dr, Woburn, Massachusetts. You can contact this provider via phone number 7819352655 and fax number 7819359097. The mailing address for Katie A Wallace is 1 Arrow Dr, Woburn, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katie A Wallace |
|---|---|
| Address | 1 Arrow Dr, Woburn, Massachusetts |
| Phone Number | 7819352655 |
| Fax Number | 7819359097 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1417992538 |
|---|---|
| Provider Enumeration Date | 2006-06-20 |
| Last Updated Date | 2022-09-09 |
Provider Mailing Address Detail
| Address | 1 Arrow Dr |
|---|---|
| City | Woburn |
| State | Massachusetts (MA) |
| Post Code | 18012039 |
| Phone Number | 7819352655 |
| Fax Number | 7819359097 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 2972 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 08Y008383NH09 | NH | ANTHEM | |
| AA51239 | NH | HARVARD PILGRIM HEALTH | |
| 3779390 | NH | CIGNA | |
| 20481677 | ME | -- | |
| 101051400 | NH | US DEPT OF LABOR | |
| 26206 | NH | CIGNA | |
| 1297438 | NH | AETNA | |
| 98440 | ME | ANTHEN | |
| 30394394 | NH | -- | |
| 755459 | NH | TUFTS |
Post Comment/ Review Below
What is the Katie A Wallace's 1417992538?
The Katie A Wallace's NPI (National Provider Identifier) Number is 1417992538. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Katie A Wallace's physical address?
The Katie A Wallace is physically located at 1 Arrow Dr, in the city of Woburn, MA, with the postal code 18012039.
What is Katie A 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 Katie A Wallace is Physical Therapist, and the taxonomy classification code that categorizes this area of expertise is 225100000X.
On what date did Katie A Wallace receive its 1417992538 assignment from the Centers for Medicare & Medicaid Services?
The Katie A Wallace was assigned its 1417992538 on 2006-06-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Katie A Wallace, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Katie A Wallace, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-09-09.