Individual provider · Type 1 NPI

Tiffany Dawn Wallace, DPT

Orthopedic Physical Therapist · Lake Mary, FL

NPI number 1689802662 Active

Practice location

701 Platinum Pt
Lake Mary, FL 32746-4871

Call (407) 206-4500 Map

Fax (407) 643-2802

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000X24764 (FL)
Orthopedic Physical Therapist Primary 2251X0800XPT24764 (FL)

Orthopedic Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based prac…

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About NPI 1689802662

Tiffany Dawn Wallace, DPT's National Provider Identifier is 1689802662, issued on Jun 29, 2009. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in Lake Mary, FL. The record was last updated on Apr 12, 2022.