Individual provider · Type 1 NPI
Karen Chandler Wallace, MPT
Pediatric Physical Therapist · Saxtons River, VT
Practice location
10 Grove Street
Saxtons River, VT 05154-0174
Mailing address
PO Box 174, 10 Grove Street
Saxtons River, VT 05154-0174
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 2311 (NH) |
| Pediatric Physical Therapist | 2251P0200X | 0400003229 (VT) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
About NPI 1801078985
Karen Chandler Wallace, MPT's National Provider Identifier is 1801078985, issued on Nov 30, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Saxtons River, VT. The record was last updated on Nov 30, 2007.