Individual provider · Type 1 NPI

Daphne Wallace, PT

Pediatric Physical Therapist · Birmingham, AL

NPI number 1043312226 Active

Practice location

120 Oslo Cir
Birmingham, AL 35211-5965

Fax (205) 413-4914

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200XPTH4642 (AL)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1043312226

Daphne Wallace, PT's National Provider Identifier is 1043312226, issued on Sep 1, 2006. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Birmingham, AL. The record was last updated on Mar 6, 2019.