Terry Wallace is a Hand in Humble, Texas. Terry Wallace practices all healthcare services and medical treatments related to Hand. The NPI Number for Terry Wallace is 1639112071. The last update date is 2009-02-10.
Terry Wallace's current location address is 2154 River Village Dr, Humble, Texas. You can contact this provider via phone number 2813613829. The mailing address for Terry Wallace is 2154 River Village Dr, Humble, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terry Wallace |
|---|---|
| Address | 2154 River Village Dr, Humble, Texas |
| Phone Number | 2813613829 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LOT |
NPI Number Detail
| NPI Number | 1639112071 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2009-02-10 |
Provider Mailing Address Detail
| Address | 2154 River Village Dr |
|---|---|
| City | Humble |
| State | Texas (TX) |
| Post Code | 773391770 |
| Phone Number | 2813613829 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Hand |
|---|---|
| Taxonomy | 225Xh1200X |
| Licence No | 1041100564 |
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Definition: An occupational therapist who specializes in treating hand, wrist and forearm injuries or impairments to help regain function and dexterity. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 104330 | TX | OCCUPATIONAL THERAPY LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Terry Wallace by the Centers for Medicare & Medicaid Services?
The Terry Wallace has been issued the NPI (National Provider Identifier) 1639112071. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Terry Wallace located?
The Terry Wallace is located at 2154 River Village Dr, Humble, TX 773391770.
What is the area of specialization for Terry Wallace, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Terry Wallace is Hand, and the corresponding taxonomy code that categorizes this area of expertise is 225Xh1200X.
On what date was the 1639112071 assigned to Terry Wallace?
The Terry Wallace was issued its 1639112071 on 2006-06-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Terry Wallace, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Terry Wallace, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-02-10.