Individual provider · Type 1 NPI
Michelle Wallace, PT
Pediatric Rehabilitation Medicine Physician · Tenafly, NJ
Practice location
75 Norman Pl
Tenafly, NJ 07670-2537
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Rehabilitation Medicine Physician Primary | 2081P0010X | 40QA00591600 (NJ) |
Pediatric Rehabilitation Medicine Physician: A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabi…
About NPI 1477808947
Michelle Wallace, PT's National Provider Identifier is 1477808947, issued on Jul 19, 2012. The primary taxonomy on file is Pediatric Rehabilitation Medicine Physician (2081P0010X), and the practice location is in Tenafly, NJ. The record was last updated on Jul 19, 2012.