Individual provider · Type 1 NPI

Tamara Wallace, PTA

Physical Therapy Assistant · Daly City, CA

NPI number 1962781880 Active

Practice location

333 Gellert Blvd, #150
Daly City, CA 94015-2621

Call (650) 758-4700 Map

Mailing address

555 4th St, Apt 826
San Francisco, CA 94107-1604

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XAT6816 (CA)

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 1962781880

Tamara Wallace, PTA's National Provider Identifier is 1962781880, issued on Aug 9, 2011. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Daly City, CA. The record was last updated on Aug 9, 2011.