Michelle Wallace, PT
Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine in Tenafly, New Jersey
1477808947- Practice location
- 75 Norman Pl, Tenafly, NJ 07670-2537
- Phone
- 732-761-0088
- Fax
- —
- Last updated
- July 19, 2012
Michelle Wallace is a Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine based in Tenafly, NJ. Michelle Wallace practices in Tenafly, NJ and has the professional credentials of PT. The NPI Number for Michelle Wallace is 1477808947 and holds a License No. 40QA00591600 (NJ). The current practice location address for Michelle Wallace is 75 Norman Pl, Tenafly, NJ 07670-2537 and can be reached out via phone at 732-761-0088.
Provider Profile Details
- NPI Number
- 1477808947
- Provider Name
- Michelle Wallace
- Credential
- PT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 75 Norman Pl, Tenafly, NJ 07670-2537
- Phone Number
- 732-761-0088
- Primary Taxonomy
- Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine · 2081P0010X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 19, 2012
- Last Update Date
- July 19, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 75 Norman Pl
Tenafly, NJ 07670-2537 - City
- Tenafly
- State
- New Jersey
- Zip
- 07670-2537
- Phone Number
- 732-761-0088
Provider Business Mailing Address Details
- Address
- 75 Norman Pl
Tenafly, NJ 07670-2537 - City
- Tenafly
- State
- NJ
- Zip
- 07670-2537
License Information
- License Number
- 40QA00591600
- License State
- NJ
- Taxonomy
- Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine · 2081P0010X · 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 Michelle Wallace, PT?
The NPI number of Michelle Wallace, PT is 1477808947. It was assigned on July 19, 2012 and is currently active in the NPPES registry.
What is the specialty of Michelle Wallace, PT?
Michelle Wallace, PT is registered under the primary taxonomy Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (code 2081P0010X), licensed in NJ under license number 40QA00591600.
Where does Michelle Wallace, PT practice?
The practice location is 75 Norman Pl, Tenafly, NJ 07670-2537. The office can be reached at 732-761-0088 (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 1477808947 directly on the NPPES registry website.