Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alicia Jacqueline Wallace

Individual provider Physical Therapist · NPI 1720946551

Alicia Jacqueline Wallace is a Physical Therapist in Chevy Chase, Maryland. Licensed in Maryland. Registered with an NPI since 2026.

Licensed in
MD
In the registry since
2026

Practice location Address checks out

5530 Wisconsin Ave Ste 960
Chevy Chase, MD 20815-4315
Phone: (301) 986-4745
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 30742 (MD)

Record details

NPI number1720946551
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 12, 2026
Last updated in NPPESJanuary 27, 2026
Certification dateJanuary 27, 2026

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