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

Nicole Wallace, DPT

Individual provider Physical Therapist · NPI 1588964787

Nicole Wallace, DPT is a Physical Therapist in San Diego, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010
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

3350 La Jolla Village Dr
San Diego, CA 92161
Phone: (858) 552-8585
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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 37203 (CA)

Record details

NPI number1588964787
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 22, 2010
Last updated in NPPESOctober 22, 2010

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