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Search › California › Physical Therapist

Laurie Wallace, MPT, ATC

NPI 1770704306 · on the registry since 2007 · sole proprietor

Practice

Address
130 Loma Vista Dr
Burlingame, CA 94010
Phone
(772) 321-4992

Additional practice sites

  • 438 Wisnom Ave, San Mateo, CA

Registry record

Primary taxonomy
Physical Therapist
225100000X
Also registered as
Physical Therapist
Athletic Trainer
Licence states on file
FL, CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-02-27

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 California