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Lori Wallace, RPT
Pediatric Physical Therapist in Bethany, Oklahoma
NPI 1689991366

Lori Wallace is a Pediatric Physical Therapist based in Bethany, OK and is specialized in Pediatrics. Lori Wallace practices in Bethany, OK and has the professional credentials of RPT. The NPI Number for Lori Wallace is 1689991366 and holds a License No. 1399 (Oklahoma).

The current practice location address for Lori Wallace is 6800 Nw 39Th Expy, Bethany, OK and can be reached out via phone at 405-440-9866 and via fax at 405-782-0024.

Location: 6800 Nw 39Th Expy, Bethany, OK, 73008-2513
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689991366
Provider Name
Lori Wallace
Credential
RPT
Provider Entity Type
Individual
Gender
Female
Address
6800 Nw 39Th Expy, Bethany, OK, 73008-2513
Phone Number
405-440-9866
Fax Number
405-782-0024
Provider Enumeration Date
04/21/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200284400A 05 OK
institution
Provider Business Practice Location Address Details
Address
6800 Nw 39Th Expy
City
Bethany
State
Oklahoma
Zip
73008-2513
Phone Number
405-440-9866
Fax Number
405-782-0024
person
Provider Business Mailing Address Details
Address
6800 Nw 39Th Expy
City
Bethany
State
Oklahoma
Zip
73008-2513
Phone Number
405-440-9866
Fax Number
405-782-0024
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
1399 (Oklahoma)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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