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

Lori Wallace, RPT

Individual provider Pediatric Physical Therapist · NPI 1689991366

Lori Wallace, RPT is a Pediatric Physical Therapist in Bethany, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2010.

Licensed in
OK
In the registry since
2010

Practice location Address checks out

6800 NW 39th Expy
Bethany, OK 73008-2513
Phone: (405) 440-9866
Fax: (405) 782-0024
Show map & directions

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

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 1399 (OK)

Record details

NPI number1689991366
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPT
Sole proprietorNo
NPI enumeratedApril 21, 2010
Last updated in NPPESOctober 19, 2015
Mailing address6800 Nw 39th Expy, Bethany, OK 73008-2513

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