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MICHELLE WALLACE PT NPI 1477808947


NPI Information

NPI: 1477808947
Provider Name: MICHELLE WALLACE, PT
Classification: Physical Medicine & Rehabilitation - 2081P0010X
Entity Type: Individual

Specialization: Pediatric Rehabilitation Medicine

Address:
75 NORMAN PL
TENAFLY, NJ
ZIP 07670
Phone: (732) 761-0088
Get Directions

Michelle Wallace, PT is a pediatric rehabilitation medicine physical medicine rehabilitation in Tenafly, NJ. The provider is a physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. Michelle Wallace, PT NPI is 1477808947. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

75 NORMAN PL
TENAFLY, NJ
ZIP 07670-537
Phone: (732) 761-0088

The enumeration date for this NPI number is 7/19/2012 and was last updated on 7/19/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12081P0010XPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine40QA00591600NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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