Joseph Michael Wallace
Physical Therapy Assistant · Medley, FL
Practice location
8181 NW S River Dr Lot B227Medley, FL 33166-7470
- Phone
- (786) 779-1617
NPI record
- NPI
- 1124771555
- Entity type
- Individual (Type 1)
- Enumeration date
- January 26, 2022
- Last updated
- January 26, 2022
- Certified
- January 26, 2022
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X |
PTA31677 | FL |
About Joseph Wallace
Joseph Michael Wallace is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 8181 NW S River Dr Lot B227, Medley, FL 33166-7470. The NPI number 1124771555 was assigned on January 26, 2022 and the record was last updated on January 26, 2022.
Joseph Wallace lists a license in the registry: #PTA31677 (FL) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Joseph Michael Wallace?
The NPI number is 1124771555.
What is the phone number of Joseph Wallace?
The phone number listed for the practice location is (786) 779-1617.
Where is Joseph Wallace located?
8181 NW S River Dr Lot B227, Medley, FL 33166-7470.
What is the taxonomy code for Joseph Wallace?
The primary taxonomy code is 225200000X – Physical Therapy Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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