Lindsey Avery Wallace, PT, DPT | |
406 Central Ave S, Quincy, WA 98848-1226 | |
(208) 596-6929 | |
Not Available |
Full Name | Lindsey Avery Wallace |
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Gender | Female |
Speciality | Physical Therapist |
Location | 406 Central Ave S, Quincy, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255075800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT.61256288 (Washington) | Primary |
Provider Name | Grant County Public Hospital District No. 3 |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134283930 PECOS PAC ID: 6709775166 Enrollment ID: O20040312001134 |
Mailing Address | Practice Location Address |
---|---|
Lindsey Avery Wallace, PT, DPT 402 Q St Sw, Quincy, WA 98848-7802 Ph: (208) 596-6929 | Lindsey Avery Wallace, PT, DPT 406 Central Ave S, Quincy, WA 98848-1226 Ph: (208) 596-6929 |
Douglas R Diaz, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 406 Central Ave S, Quincy, WA 98848 Phone: 509-787-0569 | |
Dr. Alexander Edward Robinson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 406 Central Ave S, Quincy, WA 98848 Phone: 509-787-0569 | |
Amy York, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 908 10th Ave Sw, Quincy, WA 98848 Phone: 509-787-3531 Fax: 509-787-2016 |