Search › Florida › 225100000X
Jennifer Wallace, P.T
NPI 1306035431 · on the registry since 2007
Practice
- Address
- 3891 50th Ave S
Saint Petersburg, FL 33711 - Phone
- (630) 554-4701
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
- Licence states on file
- FL, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-05-03
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 Florida