| Kimberly Wallace, PT | |
|
420 Bainbridge St, 453 Lower Indian Head Road, Philadelphia, PA 19147-1568 | |
| (215) 629-3837 | |
| (215) 629-5531 |
| Full Name | Kimberly Wallace |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 420 Bainbridge St, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114926698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT007970L (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Wallace, PT 420 Bainbridge St, 453 Lower Indian Head Road, Philadelphia, PA 19147-1568 Ph: (215) 629-3837 | Kimberly Wallace, PT 420 Bainbridge St, 453 Lower Indian Head Road, Philadelphia, PA 19147-1568 Ph: (215) 629-3837 |
Mr. James Blakely, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1555 E Wadsworth Ave, Unit 1, Philadelphia, PA 19150 Phone: 267-323-2778 Fax: 267-323-2774 | |
Vincent Ngo, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 133 W Hunting Park Ave, Philadelphia, PA 19140 Phone: 215-455-5370 | |
Maureen Higgins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 190 N Independence Mall W, Philadelphia, PA 19106 Phone: 215-413-0600 Fax: 215-413-0684 | |
Jennifer Dekerlegand, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3400 Spruce St, 1 White Building, Philadelphia, PA 19104 Phone: 215-662-3265 | |
Doriean Broady, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4902 Arch St Unit 1, Philadelphia, PA 19139 Phone: 585-944-7961 | |
Jennifer Anne Ellis, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1923 Bainbridge St, Philadelphia, PA 19146 Phone: 215-469-1832 | |
Katherine Weaver, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3400 Lancaster Ave Ste 4, Philadelphia, PA 19104 Phone: 215-662-0397 |