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

Colleen R Wallace, DPT

Individual provider Physical Therapist · NPI 1457964678

Colleen R Wallace, DPT is a Physical Therapist in Bristol, New Hampshire. Practices as a sole proprietor. Licensed in New Hampshire.

Licensed in
NH
In the registry since
2020
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

20 Lake St
Bristol, NH 03222-4009
Phone: (603) 393-0135
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 4692 (NH)

Record details

NPI number1457964678
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedAugust 27, 2020
Last updated in NPPESNovember 27, 2024
Certification dateNovember 27, 2024

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