Miss Daphne Wallace, PT | |
120 Oslo Cir, Birmingham, AL 35211-5965 | |
(205) 944-3944 | |
(205) 413-4914 |
Full Name | Miss Daphne Wallace |
---|---|
Gender | Female |
Speciality | Physical Therapist - Pediatrics |
Location | 120 Oslo Cir, Birmingham, Alabama |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043312226 | NPI | - | NPPES |
51532180 | Other | AL | BCBS PROVIDER # FOR ARC |
890015770 | Medicaid | AL | |
515-30526 | Other | AL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251P0200X | Physical Therapist - Pediatrics | PTH4642 (Alabama) | Primary |
Mailing Address | Practice Location Address |
---|---|
Miss Daphne Wallace, PT 120 Oslo Cir, Birmingham, AL 35211-5965 Ph: (205) 944-3944 | Miss Daphne Wallace, PT 120 Oslo Cir, Birmingham, AL 35211-5965 Ph: (205) 944-3944 |
Ms. Jenesis C. Safford, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 19th St S, Room 8307, Birmingham, AL 35233 Phone: 205-933-4390 | |
Jason Cooper Grammer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3125 Independence Dr, Suite 300b, Birmingham, AL 35209 Phone: 205-879-7501 Fax: 205-879-0675 | |
Samantha Specht, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 7th Ave S, Birmingham, AL 35233 Phone: 205-638-7763 | |
Ms. Robin Vanchina, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3125 Independence Dr, 300b, Birmingham, AL 35209 Phone: 205-879-7501 Fax: 205-879-0675 | |
Jennifer Joseph Smith, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 619 19th Street South, Birmingham, AL 35233 Phone: 205-934-6600 | |
Mr. Walter Randall Mackey, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 144 Narrows Point Ct, Birmingham, AL 35242 Phone: 205-981-1197 Fax: 205-981-1197 | |
Jack Ellis, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 820 University Blvd, Birmingham, AL 35233 Phone: 205-327-5030 Fax: 205-327-5616 |