SearchOregonPhysical Therapist

Jim Wallace, PT

NPI 1194928481 · on the registry since 2007

Practice

Address
404 Ne Penn Ave
Bend, OR 97701
Phone
(541) 318-7041
Fax
(541) 388-3711
Organisation at this address
Ideal Option, Pllc
Ideal Telemedicine Services Llc
Healing Bridge Physical Therapy Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
Physical Therapist
225100000X
Also registered as
Orthopedic Physical Therapist
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-12-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon