Search › Oklahoma › 2251E1200X
Randall Wallace, P.T
NPI 1497820252 · on the registry since 2006
Practice
- Address
- 409 E. California Ave.
Oaklahoma City, OK 73104 - Phone
- (405) 879-6766
- Fax
- (405) 879-3493
Registry record
- Primary taxonomy
- 2251E1200X
2251E1200X
- Also registered as
- 225100000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-11
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 Oklahoma