Individual provider · Type 1 NPI

Nicole Wallace, DPT

Physical Therapist · San Diego, CA

NPI number 1588964787 Active

Practice location

3350 La Jolla Village Drive
San Diego, CA 92161

Mailing address

5225 Fiore Terrace, Apt D317
San Diego, CA 92122

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X37203 (CA)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1588964787

Nicole Wallace, DPT's National Provider Identifier is 1588964787, issued on Oct 22, 2010. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in San Diego, CA. The record was last updated on Oct 22, 2010.