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Search › North Carolina › Physical Therapist

Marisa Wallace, DPT

NPI 1861115362 · on the registry since 2022

Practice

Address
14057 Us Highway 17 Ste 230
Hampstead, NC 28443
Phone
(910) 821-3377
Fax
(910) 821-3380
Organisation at this address
Otero & Otero Dds Pa
Coastal Sound Audiology, Pllc
Coastal Ridge Health Services, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
Physical Therapist
225100000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-21

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 North Carolina