Individual provider · Type 1 NPI

Bridgett D'ann Wallace, PT

Neurology Physical Therapist · Austin, TX

NPI number 1063451375 Active

Practice location

7900 Shoal Creek Blvd, Suite 200
Austin, TX 78757-8037

Call (512) 345-4664 Map

Fax (512) 345-6150

Mailing address

5608 Parkcrest Dr, Ste 100
Austin, TX 78731-4972

Specialties and licenses

TaxonomyCodeLicense
Neurology Physical Therapist Primary 2251N0400X1104610 (TX)

Neurology Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with an…

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About NPI 1063451375

Bridgett D'ann Wallace, PT's National Provider Identifier is 1063451375, issued on Jun 5, 2006. The primary taxonomy on file is Neurology Physical Therapist (2251N0400X), and the practice location is in Austin, TX. The record was last updated on Jul 13, 2026.