Mr. Randall Allen Wallace
Physical Therapist Ergonomics
409 E. California Ave.
Oaklahoma City
, Oklahoma 73104
Mr. Randall Allen Wallace
Physical Therapist Ergonomics
409 E. California Ave.
Oaklahoma City
, Oklahoma 73104
(405) 216-8731
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About
Features
Specialties
- Physical Therapist
- Ergonomics
Languages spoken
- English
Location
First Address
- Mr. Randall Allen Wallace
- 18305 English Oak Ln
- Edmond, OK
- Zip : 73003-4051
- Phone : (405) 216-8731
Second Address
- Mr. Randall Allen Wallace
- 409 E. California Ave.
- Oaklahoma City, OK
- Zip : 73104
- Fax : (405) 879-3493
- Phone : (405) 879-6766
Reviews
FAQs
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Is Mr. Randall Allen Wallace a sole practitioner?
Is Mr. Randall Allen Wallace accepting new patients?
What languages does Mr. Randall Allen Wallace speak?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225100000X | Physical Therapist | PT2855 | OK |
| N | 2251E1200X | Ergonomics | PT2855 | OK |
| N | 225XE1200X | Ergonomics | PT2855 | OK |
National Provider Identifier
| NPI | 1497820252 |
|---|---|
| Provider Name | Mr. Randall Allen Wallace |
| First Address | Edmond, OK 73003-4051 |
| Second Address | Oaklahoma City, OK 73104 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/11/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.