Lajuana Wallace in Dallas - Physical Therapy Assistant

Lajuana Wallace - NPI 1902014079

Lajuana Wallace is a Physical Therapy Assistant in Dallas, Texas. Lajuana Wallace practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Lajuana Wallace is 1902014079. The last update date is 2007-09-06.

Lajuana Wallace's current location address is 8039 Scyene Cir, Dallas, Texas. You can contact this provider via phone number 9724379389. The mailing address for Lajuana Wallace is 8039 Scyene Cir, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Lajuana Wallace
Address 8039 Scyene Cir, Dallas, Texas
Phone Number 9724379389
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1902014079
Provider Enumeration Date 2007-05-20
Last Updated Date 2007-09-06

Provider Mailing Address Detail

Address 8039 Scyene Cir
City Dallas
State Texas (TX)
Post Code 752275534
Phone Number 9724379389
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No 2057823
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 Lajuana Wallace

What is the unique provider identifier assigned to Lajuana Wallace?

The Lajuana Wallace has been issued the NPI (National Provider Identifier) 1902014079 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 street address where Lajuana Wallace is physically located?

The Lajuana Wallace is physically situated at the following address: 8039 Scyene Cir, Dallas, TX, 752275534.

What is Lajuana Wallace's area of expertise and its corresponding taxonomy classification?

The Lajuana Wallace's field of specialization is Physical Therapy Assistant, and it falls under the taxonomy code 225200000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1902014079 to Lajuana Wallace?

The Centers for Medicare & Medicaid Services assigned the 1902014079 to Lajuana Wallace on 2007-05-20.

As of what date were the Lajuana Wallace's details last updated?

The information pertaining to the Lajuana Wallace, including its address, specialty, and other details, was most recently updated on 2007-09-06.

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