Jill Wallace is a Physical Therapist in Waukesha, Wisconsin. Jill Wallace practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Jill Wallace is 1104883099. The last update date is 2012-01-18.
Jill Wallace's current location address is W239n1812 Rockwood Dr Ste 100, Waukesha, Wisconsin. You can contact this provider via phone number 2625230310. The mailing address for Jill Wallace is W239n1812 Rockwood Dr Ste 100, Waukesha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill Wallace |
|---|---|
| Address | W239n1812 Rockwood Dr Ste 100, Waukesha, Wisconsin |
| Phone Number | 2625230310 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1104883099 |
|---|---|
| Provider Enumeration Date | 2006-04-26 |
| Last Updated Date | 2012-01-18 |
Provider Mailing Address Detail
| Address | W239n1812 Rockwood Dr Ste 100 |
|---|---|
| City | Waukesha |
| State | Wisconsin (WI) |
| Post Code | 531881113 |
| Phone Number | 2625230310 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 10232 |
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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 |
|---|---|---|---|
| 40432300 | WI | -- |
Post Comment/ Review Below
What is the Jill Wallace's unique identification number?
The Jill Wallace has been assigned the NPI (National Provider Identifier) Number 1104883099 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Jill Wallace located?
The Jill Wallace is located at W239N1812 Rockwood Dr Ste 100, Waukesha, WI 531881113.
What is the area of specialization for Jill Wallace, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jill Wallace is Physical Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225100000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104883099 to Jill Wallace?
The Jill Wallace received its 1104883099 assignment from the Centers for Medicare & Medicaid Services on 2006-04-26.
As of what date were the details pertaining to Jill Wallace last refreshed?
The information related to the Jill Wallace, including its address, specialty, and other relevant details, was last updated on 2012-01-18.
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