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Bridgett D'ann Wallace, PT
Neurology Physical Therapist in Austin, Texas
NPI 1063451375

Bridgett D'ann Wallace is a Neurology Physical Therapist based in Austin, TX and is specialized in Neurology. Bridgett D'ann Wallace practices in Austin, TX and has the professional credentials of PT. The NPI Number for Bridgett D'ann Wallace is 1063451375 and holds a License No. 1104610 (Texas).

The current practice location address for Bridgett D'ann Wallace is 7900 Shoal Creek Blvd, Austin, TX and can be reached out via phone at 512-345-4664 and via fax at 512-345-6150. You can also correspond with Bridgett D'ann Wallace through the mailing address at 5608 PARKCREST DR, AUSTIN, TX - 78731-4972 (mailing address contact number: 512-345-4664).

Location: 7900 Shoal Creek Blvd, Austin, TX, 78731-4972
person
Provider Profile Details
NPI Number
1063451375
Provider Name
Bridgett D'ann Wallace
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
7900 Shoal Creek Blvd, Austin, TX, 78731-4972
Phone Number
512-345-4664
Fax Number
512-345-6150
Provider Enumeration Date
06/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
86683T 01 TX BCBS INDIVIDUAL #
0050HV 01 TX BCBS GROUP #
030384821 01 TX PHCS PROVIDER #
030384821 01 TX TEXAS TRUE CHOICE
030384821 01 TX HUMANA
institution
Provider Business Practice Location Address Details
Address
7900 Shoal Creek Blvd
City
State
Zip
78757-8037
Phone Number
512-345-4664
Fax Number
512-345-6150
person
Provider Business Mailing Address Details
Address
7900 Shoal Creek Blvd
City
State
Zip
78757-8037
Phone Number
512-345-4664
Fax Number
512-345-6150
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Neurology
Taxonomy
License No.
1104610 (Texas)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.
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