Lauralee Wallace
Lauralee Wallace is a Physical Therapist in Private Practice in Montague, California. Graduated from University of California, San Francisco School of Medicine in 1994, 32 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 32
- Trained at
- University of California, San Francisco School of Medicine
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
11239 Ball Mtn Little Shasta RdMontague, CA 96064-9682
Phone: (530) 340-1490
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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 PT20432 (CA) |
|---|
Record details
| NPI number | 1326647447 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 20, 2020 |
| Last updated in NPPES | October 20, 2020 |
| Certification date | October 20, 2020 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
| Graduated | 1994 (32 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |