Individual provider · Type 1 NPI

Randall Allen Wallace, P.T.

Ergonomics Physical Therapist · Oaklahoma City, OK

NPI number 1497820252 Active

Practice location

409 E. California Ave.
Oaklahoma City, OK 73104

Fax (405) 879-3493

Mailing address

18305 English Oak Ln
Edmond, OK 73003-4051

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000XPT2855 (OK)
Ergonomics Physical Therapist Primary 2251E1200XPT2855 (OK)

Ergonomics Physical Therapist: A licensed physical therapist who has demonstrated specialized knowledge and skills pertaining to the workplace, occupational demands, prevention of work-related injury, management of the worker with job-related symptoms or participation restrictions, and provides individual, group or population level evaluation, intervention and consulting to enhance worker performance.

Another provider at this address

About NPI 1497820252

Randall Allen Wallace, P.T.'s National Provider Identifier is 1497820252, issued on Nov 21, 2006. The primary taxonomy on file is Ergonomics Physical Therapist (2251E1200X), and the practice location is in Oaklahoma City, OK. The record was last updated on Sep 11, 2025.