Individual provider · Type 1 NPI

Courtney Brooke Wallace, PT

Contractor · Raleigh, NC

NPI number 1285877217 Active

Practice location

3601 Windemere Pl
Raleigh, NC 27604-5961

Mailing address

9802 Carvel Ct
Raleigh, NC 27613-5754

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000X8974 (NC)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1285877217

Courtney Brooke Wallace, PT's National Provider Identifier is 1285877217, issued on Apr 6, 2009. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Raleigh, NC. The record was last updated on Jan 22, 2021.