Individual provider · Type 1 NPI

Theresa A. Wallace, PA-C, ATC

Physician Assistant · Daytona Beach, FL

NPI number 1437404548 Active

Practice location

1865 Lpga Blvd
Daytona Beach, FL 32117-7108

Call (386) 255-4596 Map

Fax (386) 258-3561

Other practice locations

  • 1165 Dunlawton Ave Ste 102, Port Orange, FL 32127-2924 · (386) 255-4596
  • 1175 Dunlawton Ave Ste 1, Port Orange, FL 32127-4741 · (386) 255-4596
  • 17 Old Kings Rd N Ste K, Palm Coast, FL 32137-8283 · (386) 255-4596
  • 1075 Mason Ave, Daytona Beach, FL 32117-4611 · (386) 255-4596
  • 1890 Lpga Blvd Ste 240, Daytona Beach, FL 32117-7131 · (386) 255-4596
  • 1325 San Marco Blvd, Suite 102, Jacksonville, FL 32207-8568 · (904) 858-7045

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XAL2836 (FL)
Physician Assistant Primary 363A00000XPA9113017 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

46 other providers at this address

Other physician assistant providers in Daytona Beach

See all in Daytona Beach →

About NPI 1437404548

Theresa A. Wallace, PA-C, ATC's National Provider Identifier is 1437404548, issued on Jul 16, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Daytona Beach, FL. The record was last updated on Nov 21, 2024.