Active NPIIndividual providerSole proprietor

Mrs. Karen C Wallace, MPT

Physical Therapist, Pediatrics in Saxtons River, Vermont

NPI Number1801078985
Practice location
10 Grove Street, Saxtons River, VT 05154-0174
Fax
—
Last updated
November 30, 2007

Karen Chandler Wallace is a Physical Therapist, Pediatrics based in Saxtons River, VT. Karen Chandler Wallace practices in Saxtons River, VT and has the professional credentials of MPT. The NPI Number for Karen Chandler Wallace is 1801078985 and holds a License No. 2311 (NH). The current practice location address for Karen Chandler Wallace is 10 Grove Street, Saxtons River, VT 05154-0174 and can be reached out via phone at 802-869-2196.

Provider Profile Details

NPI Number
1801078985
Provider Name
Karen Chandler Wallace
Credential
MPT
Provider Entity Type
Individual
Gender
Female
Address
10 Grove Street, Saxtons River, VT 05154-0174
Phone Number
802-869-2196
Primary Taxonomy
Physical Therapist, Pediatrics · 2251P0200X
Sole Proprietor
Yes
Provider Enumeration Date
November 30, 2007
Last Update Date
November 30, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Grove Street
Saxtons River, VT 05154-0174
State
Vermont
Zip
05154-0174
Phone Number
802-869-2196
Saxtons River, VT 05154Get directions →

Provider Business Mailing Address Details

Address
Po Box 174
10 Grove Street
Saxtons River, VT 05154-0174
City
Saxtons River
State
VT
Zip
05154-0174
Phone Number
802-869-2196

License Information

License Number (1)
2311
License State (1)
NH
Taxonomy (1)
Physical Therapist, Pediatrics · 2251P0200X · Primary
License Number (2)
0400003229
License State (2)
VT
Taxonomy (2)
Physical Therapist, Pediatrics · 2251P0200X

Legacy Identifiers

IdentifierTypeStateIssuer
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 Mrs. Karen C Wallace, MPT?

The NPI number of Mrs. Karen C Wallace, MPT is 1801078985. It was assigned on November 30, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Karen C Wallace, MPT?

Mrs. Karen C Wallace, MPT is registered under the primary taxonomy Physical Therapist, Pediatrics (code 2251P0200X), licensed in NH under license number 2311.

Where does Mrs. Karen C Wallace, MPT practice?

The practice location is 10 Grove Street, Saxtons River, VT 05154-0174. The office can be reached at 802-869-2196 (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 1801078985 directly on the NPPES registry website.

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