Dana Jill Wallace is a Hand in , . Dana Jill Wallace practices all healthcare services and medical treatments related to Hand. The NPI Number for Dana Jill Wallace is 1073730636. The last update date is 2023-08-01.
Dana Jill Wallace's current location address is , , . You can contact this provider via phone number . The mailing address for Dana Jill Wallace is , , . To know further, please read the information below!
Provider Profile Detail
Provider Name | Dana Jill Wallace |
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Address | , , |
Phone Number | |
Fax Number | |
Sole Proprietor | N |
Credentials | MS, OTR/L |
NPI Number Detail
NPI Number | 1073730636 |
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Provider Enumeration Date | 2007-04-18 |
Last Updated Date | 2023-08-01 |
Provider Mailing Address Detail
Address | |
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City | |
State | () |
Post Code | |
Phone Number | |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Hand |
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Taxonomy | 225Xh1200X |
Definition: An occupational therapist who specializes in treating hand, wrist and forearm injuries or impairments to help regain function and dexterity. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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9519754 | AETNA | ||
976238-01 | CAREFIRST MARYLAND | ||
4695-0050 | CAREFIRST NCA |
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What is the unique 10-digit identifier code issued to Dana Jill Wallace by the Centers for Medicare & Medicaid Services?
The Dana Jill Wallace has been assigned the NPI (National Provider Identifier) 1073730636 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Dana Jill Wallace?
The Dana Jill Wallace is situated at , in the city of , state of , with the zip code .
What is Dana Jill Wallace's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dana Jill Wallace's area of specialization is Hand, and the corresponding taxonomy code that categorizes this field of practice is 225Xh1200X.
When was the Dana Jill Wallace's 1073730636 issued?
The Dana Jill Wallace's 1073730636 was issued on 2007-04-18.
When was the information regarding Dana Jill Wallace, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Dana Jill Wallace, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-08-01.