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Theresa A Wallace, PA-C,ATC
Physician Assistant in Daytona Beach, Florida
NPI 1437404548

Theresa A Wallace is a Physician Assistant based in Daytona Beach, FL. Theresa A Wallace practices in Daytona Beach, FL and has the professional credentials of PA-C,ATC. The NPI Number for Theresa A Wallace is 1437404548 and holds a License No. AL2836 (Florida).

The current practice location address for Theresa A Wallace is 1865 Lpga Blvd, Daytona Beach, FL and can be reached out via phone at 386-255-4596 and via fax at 386-258-3561.

Location: 1865 Lpga Blvd, Daytona Beach, FL, 32117-7108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437404548
Provider Name
Theresa A Wallace
Credential
PA-C,ATC
Provider Entity Type
Individual
Gender
Female
Address
1865 Lpga Blvd, Daytona Beach, FL, 32117-7108
Phone Number
386-255-4596
Fax Number
386-258-3561
Provider Enumeration Date
07/16/2012
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
105958900 05 FL
institution
Provider Business Practice Location Address Details
Address
1865 Lpga Blvd
City
Daytona Beach
State
Florida
Zip
32117-7108
Phone Number
386-255-4596
Fax Number
386-258-3561
person
Provider Business Mailing Address Details
Address
1865 Lpga Blvd
City
Daytona Beach
State
Florida
Zip
32117-7108
Phone Number
386-255-4596
Fax Number
386-258-3561
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Specialist/Technologist
Speciality
Athletic Trainer
Taxonomy
2255A2300X
License No.
PA9113017 (Florida)
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
AL2836 (Florida)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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