Jessica Wallace
Jessica Wallace is a Physical Therapist in Private Practice in LA Plata, Maryland. Qualified in 2024, 2 years ago. Practices with La Plata Physical Therapy, a 4-clinician group and accepts Medicare assignment.
- Years since qualifying
- 2
- In the registry since
- 2024
Practice location Address checks out
101 Centennial St Ste CLA Plata, MD 20646-5976
Phone: (301) 392-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X |
|---|
Record details
| NPI number | 1760206460 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 11, 2024 |
| Last updated in NPPES | November 11, 2024 |
| Certification date | November 11, 2024 |
| Mailing address | 1911 S 21st St, Rogers, AR 72758-6101 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | La Plata Physical Therapy — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in LA Plata
-
Andrea Scott, RPT
10200 Laplata Rd, LA Plata, MD 20646-3245 · (301) 934-1900
-
Elizabeth Marie Steele, PT
5980 Radio Station Rd, LA Plata, MD 20646-3337 · (301) 932-6610
-
Erotokritos Terry Varlas, DPT
101 Centennial St Ste C, LA Plata, MD 20646-5976 · (301) 392-3700
-
Sheldon Villarta
10200 La Plata Town, LA Plata, MD 20646 · (301) 934-1900