Lisa N. Wallace in Lagrange - Physical Therapy Assistant
Lisa N. Wallace - NPI 1801099767
Lisa N. Wallace is a Physical Therapy Assistant in Lagrange, Georgia. Lisa N. Wallace practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Lisa N. Wallace is 1801099767. The last update date is 2007-07-08.
Lisa N. Wallace's current location address is 1514 Vernon Rd, Lagrange, Georgia. You can contact this provider via phone number 7068453192 and fax number 7068453700. The mailing address for Lisa N. Wallace is 1514 Vernon Rd, Lagrange, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa N. Wallace |
|---|---|
| Address | 1514 Vernon Rd, Lagrange, Georgia |
| Phone Number | 7068453192 |
| Fax Number | 7068453700 |
| Sole Proprietor | N |
| Credentials | LPTA |
NPI Number Detail
| NPI Number | 1801099767 |
|---|---|
| Provider Enumeration Date | 2007-06-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1514 Vernon Rd |
|---|---|
| City | Lagrange |
| State | Georgia (GA) |
| Post Code | 302404131 |
| Phone Number | 7068453192 |
| Fax Number | 7068453700 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | PTA000264 |
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Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
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Post Comment/ Review Below
What is the Lisa N. Wallace's 1801099767?
The Lisa N. Wallace's NPI (National Provider Identifier) Number is 1801099767. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Lisa N. Wallace is located?
The Lisa N. Wallace is situated at the following address: 1514 Vernon Rd, Lagrange, GA, 302404131.
What is Lisa N. Wallace's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lisa N. Wallace is Physical Therapy Assistant, and the corresponding taxonomy classification code for this specialized field is 225200000X.
On what date did Lisa N. Wallace receive its 1801099767 assignment from the Centers for Medicare & Medicaid Services?
The Lisa N. Wallace was assigned its 1801099767 on 2007-06-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Lisa N. Wallace most recently updated or refreshed?
The details pertaining to the Lisa N. Wallace, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.