National Provider Identifier
Kristen Marie Wallace, DPT
Kristen Marie Wallace, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Dunkirk, NY and a listed phone number of (716) 363-3092.
Profile Overview
- NPI
- 1083274864
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- June 14, 2019
- Last Updated
- June 14, 2019
Practice Location
- 526 Central Ave
- Dunkirk, NY 14048-2515
Phone: (716) 363-3092
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1083274864
- Entity Type
- Individual
- Last Name
- Wallace
- First Name
- Kristen
- Middle Name
- Marie
- Credential
- DPT
- Mailing Street Address
- 526 Central Ave
- Mailing City
- Dunkirk
- Mailing State
- NY
- Mailing ZIP Code
- 14048-2515
- Mailing Country
- US
- Mailing Phone
- (716) 363-3092
- Mailing Fax
- (716) 363-3091
- Practice Street Address
- 526 Central Ave
- Practice City
- Dunkirk
- Practice State
- NY
- Practice ZIP Code
- 14048-2515
- Practice Country
- US
- Practice Phone
- (716) 363-3092
- Practice Fax
- (716) 363-3091
- Enumeration Date
- June 14, 2019
- Last Updated
- June 14, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)