Individual provider · Type 1 NPI

Denise Wallace

Rehabilitation Practitioner · Fullerton, CA

NPI number 1083165443 Active

Practice location

801 E Chapman Ave, Suite #203
Fullerton, CA 92831-3839

Call (714) 680-9000 Map

Fax (714) 680-8233

Mailing address

PO Box 919
Fullerton, CA 92836-0919

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1083165443

Denise Wallace's National Provider Identifier is 1083165443, issued on Oct 20, 2016. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Fullerton, CA. The record was last updated on Sep 25, 2017.