person
Nicole Marie Wallace, PT
Children's Hospital in Virginia Beach, Virginia
NPI 1609089028

Nicole Marie Wallace is a Children's Hospital based in Virginia Beach, VA and is specialized in Children. Nicole Marie Wallace practices in Virginia Beach, VA and has the professional credentials of PT. The NPI Number for Nicole Marie Wallace is 1609089028 and holds a License No. (Virginia).

The current practice location address for Nicole Marie Wallace is 913 First Colonial Rd Ste 204, Virginia Beach, VA and can be reached out via phone at 757-550-0725.

Location: 913 First Colonial Rd Ste 204, Virginia Beach, VA, 23454-3198
person
Provider Profile Details
NPI Number
1609089028
Provider Name
Nicole Marie Wallace
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
913 First Colonial Rd Ste 204, Virginia Beach, VA, 23454-3198
Phone Number
757-550-0725
Fax Number
Provider Enumeration Date
05/08/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
913 First Colonial Rd Ste 204
City
State
Zip
23454-3198
Phone Number
757-550-0725
Fax Number
person
Provider Business Mailing Address Details
Address
913 First Colonial Rd Ste 204
City
State
Zip
23454-3198
Phone Number
757-550-0725
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
2305203070 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Hospitals
Classification
General Acute Care Hospital
Speciality
Children
Taxonomy
License No.
()
Definition
Definition to come...
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