Diane Ruth Wallace in La Mesa - Physical Therapy Assistant

Diane Ruth Wallace - NPI 1265642730

Diane Ruth Wallace is a Physical Therapy Assistant in La Mesa, California. Diane Ruth Wallace practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Diane Ruth Wallace is 1265642730. The last update date is 2007-07-08.

Diane Ruth Wallace's current location address is 9000 Wakarusa St, La Mesa, California. You can contact this provider via phone number 6197404600. The mailing address for Diane Ruth Wallace is 9000 Wakarusa St, La Mesa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Diane Ruth Wallace
Address 9000 Wakarusa St, La Mesa, California
Phone Number 6197404600
Fax Number
Sole Proprietor N
Credentials PTA

NPI Number Detail

NPI Number 1265642730
Provider Enumeration Date 2007-05-23
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 9000 Wakarusa St
City La Mesa
State California (CA)
Post Code 919423307
Phone Number 6197404600
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No AT250
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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FAQs about Diane Ruth Wallace

What is the unique provider identifier assigned to Diane Ruth Wallace?

The Diane Ruth Wallace has been issued the NPI (National Provider Identifier) 1265642730 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Diane Ruth Wallace?

The Diane Ruth Wallace is physically situated at 9000 Wakarusa St, in the city of La Mesa, state of CA, with the postal code 919423307.

What is the area of specialization for Diane Ruth Wallace, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Diane Ruth Wallace is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 225200000X.

When did the Diane Ruth Wallace receive its 1265642730?

The Diane Ruth Wallace was issued its 1265642730 on 2007-05-23, which is the date when the organization was assigned this unique identifier.

When was the Diane Ruth Wallace's information last updated?

The Diane Ruth Wallace's information was last updated on 2007-07-08.

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