Miss Daphne Wallace, PT - Birmingham, AL

Miss Daphne Wallace, PT

Pediatric Physical Therapist in Birmingham, Alabama

NPI 1043312226

Daphne Wallace is a Pediatric Physical Therapist based in Birmingham, AL and is specialized in Pediatrics. Daphne Wallace practices in Birmingham, AL and has the professional credentials of PT. The NPI Number for Daphne Wallace is 1043312226 and holds a License No. PTH4642 (Alabama).

The current practice location address for Daphne Wallace is 120 Oslo Cir, Birmingham, AL and can be reached out via phone at 205-944-3944 and via fax at 205-413-4914. You can also correspond with Daphne Wallace through the mailing address at 120 OSLO CIR, BIRMINGHAM, AL - 35211-5965 (mailing address contact number: 205-944-3944).

Location: 120 Oslo Cir, Birmingham, AL, 35211-5965

NPI Number

1043312226

Provider Name

Daphne Wallace

Credential

Provider Entity Type

Individual

Gender

Female

Address

120 Oslo Cir, Birmingham, AL, 35211-5965

Phone Number

205-944-3944

Fax Number

205-413-4914

Provider Enumeration Date

09/01/2006

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
51532180	01	AL	BCBS PROVIDER # FOR ARC
890015770	05	AL
515-30526	01	AL	BCBS

Address

120 Oslo Cir

City

Birmingham

State

Alabama

Zip

35211-5965

Phone Number

205-944-3944

Fax Number

205-413-4914

Address

120 Oslo Cir

City

Birmingham

State

Alabama

Zip

35211-5965

Phone Number

205-944-3944

Fax Number

205-413-4914

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Physical Therapist

Speciality

Pediatrics

Taxonomy

2251P0200X

License No.

PTH4642 (Alabama)

Definition

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 therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

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