| 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 |
Mary Katherine Walker, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1801 Gadsden Hwy, Birmingham, AL 35235 Phone: 205-228-7600 Fax: 205-639-0990 | |
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 | |
Dr. Olivia Avalon Johnson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3125 Independence Dr Ste 300b, Birmingham, AL 35209 Phone: 205-263-2770 Fax: 205-263-0994 | |
James Wallace Henry, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1801 Gadsden Hwy, Birmingham, AL 35235 Phone: 205-228-7631 |