Individual provider · Type 1 NPI

Godiza Marie Wallace

Physical Therapist · Chevy Chase, MD

NPI number 1083556591 Active

Practice location

5425 Wisconsin Ave Ste 600
Chevy Chase, MD 20815-3588

Call (866) 525-3175 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X24366 (MD)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1083556591

Godiza Marie Wallace's National Provider Identifier is 1083556591, issued on Apr 6, 2026. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Chevy Chase, MD. The record was last updated on Jul 2, 2026.