Randall Allen Wallace in Oaklahoma City - Physical Therapist
Randall Allen Wallace - NPI 1497820252
Randall Allen Wallace is a Physical Therapist in Oaklahoma City, Oklahoma. Randall Allen Wallace practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Randall Allen Wallace is 1497820252. The last update date is 2007-07-08.
Randall Allen Wallace's current location address is 409 E. California Ave., Oaklahoma City, Oklahoma. You can contact this provider via phone number 4058796766 and fax number 4058793493. The mailing address for Randall Allen Wallace is 409 E. California Ave., Oaklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall Allen Wallace |
|---|---|
| Address | 409 E. California Ave., Oaklahoma City, Oklahoma |
| Phone Number | 4058796766 |
| Fax Number | 4058793493 |
| Sole Proprietor | N |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1497820252 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 409 E. California Ave. |
|---|---|
| City | Oaklahoma City |
| State | Oklahoma (OK) |
| Post Code | 73104 |
| Phone Number | 4058796766 |
| Fax Number | 4058793493 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT2855 |
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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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Post Comment/ Review Below
What is the Randall Allen Wallace's 1497820252?
The Randall Allen Wallace's NPI (National Provider Identifier) Number is 1497820252. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Randall Allen Wallace's facilities are situated?
The facilities of Randall Allen Wallace are physically located at the following address: 409 E. California Ave., Oaklahoma City, OK, 73104.
What is the Randall Allen Wallace's area of specialization and corresponding taxonomy classification?
The Randall Allen Wallace's specialty field is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1497820252 to Randall Allen Wallace?
The Randall Allen Wallace received its 1497820252 assignment from the Centers for Medicare & Medicaid Services on 2006-11-21.
When was the information regarding Randall Allen Wallace, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Randall Allen Wallace, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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