Individual provider · Type 1 NPI

Tamika Wallace

Rehabilitation Practitioner · Las Vegas, NV

NPI number 1134543952 Active

Practice location

101 S Rainbow Blvd, Suite #1
Las Vegas, NV 89145-5362

Specialties and licenses

TaxonomyCodeLicense
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 1134543952

Tamika Wallace's National Provider Identifier is 1134543952, issued on Feb 13, 2014. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Las Vegas, NV. The record was last updated on Feb 13, 2014.