Colleen R Wallace, DPT
Physical Therapist in Bristol, New Hampshire
1457964678- Practice location
- 20 Lake St, Bristol, NH 03222-4009
- Phone
- 603-393-0135
- Fax
- —
- Last updated
- November 27, 2024
Colleen R Wallace is a Physical Therapist based in Bristol, NH. Colleen R Wallace practices in Bristol, NH and has the professional credentials of DPT. The NPI Number for Colleen R Wallace is 1457964678 and holds a License No. 4692 (NH). The current practice location address for Colleen R Wallace is 20 Lake St, Bristol, NH 03222-4009 and can be reached out via phone at 603-393-0135.
Provider Profile Details
- NPI Number
- 1457964678
- Provider Name
- Colleen R Wallace
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 20 Lake St, Bristol, NH 03222-4009
- Phone Number
- 603-393-0135
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 27, 2020
- Last Update Date
- November 27, 2024
- Certification Date
- November 27, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 Lake St
Bristol, NH 03222-4009 - City
- Bristol
- State
- New Hampshire
- Zip
- 03222-4009
- Phone Number
- 603-393-0135
Provider Business Mailing Address Details
- Address
- Po Box 430
Bristol, NH 03222-0430 - City
- Bristol
- State
- NH
- Zip
- 03222-0430
- Phone Number
- 603-393-0135
License Information
- License Number
- 4692
- License State
- NH
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Colleen R Wallace, DPT?
The NPI number of Colleen R Wallace, DPT is 1457964678. It was assigned on August 27, 2020 and is currently active in the NPPES registry.
What is the specialty of Colleen R Wallace, DPT?
Colleen R Wallace, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NH under license number 4692.
Where does Colleen R Wallace, DPT practice?
The practice location is 20 Lake St, Bristol, NH 03222-4009. The office can be reached at 603-393-0135 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457964678 directly on the NPPES registry website.