Deana Wallace, DPT

NPI #1932361888 in Skokie, Illinois

Provider Information

NPI Number: 1932361888
Entity Type: Individual
Name: Deana Wallace, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jul 1, 2008
Last Updated: Dec 23, 2010

Practice Location

Address: 4607 GOLF RD
City: Skokie
State: Illinois
ZIP Code: 60076-1209
Phone: (847) 673-5073

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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