Individual provider · Type 1 NPI

Lisa N. Wallace, LPTA

Physical Therapy Assistant · Lagrange, GA

NPI number 1801099767 Active

Practice location

1514 Vernon Rd
Lagrange, GA 30240-4131

Fax (706) 845-3700

Mailing address

536 Pine Ave
Roanoke, AL 36274-1446

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA000264 (GA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1801099767

Lisa N. Wallace, LPTA's National Provider Identifier is 1801099767, issued on Jun 7, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lagrange, GA. The record was last updated on Jul 8, 2007.