National Provider Identifier
Deborah Lynn Wallace-Ducharme, L.P.T.
Deborah Lynn Wallace-Ducharme, L.P.T. is listed in the NPPES registry with a primary specialty of Physical Therapist in Ithaca, NY and a listed phone number of (607) 277-8020.
Profile Overview
- NPI
- 1902233901
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- October 04, 2013
- Last Updated
- October 04, 2013
Practice Location
- 1001 W Seneca St
- Ithaca, NY 14850-3342
Phone: (607) 277-8020
Mailing Address
- 30 Lake Shore RD
- Lansing, NY 14882-9029
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1902233901
- Entity Type
- Individual
- Last Name
- Wallace-Ducharme
- First Name
- Deborah
- Middle Name
- Lynn
- Credential
- L.P.T.
- Mailing Street Address
- 30 Lake Shore RD
- Mailing City
- Lansing
- Mailing State
- NY
- Mailing ZIP Code
- 14882-9029
- Mailing Country
- US
- Mailing Phone
- (607) 227-5335
- Practice Street Address
- 1001 W Seneca St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-3342
- Practice Country
- US
- Practice Phone
- (607) 277-8020
- Enumeration Date
- October 04, 2013
- Last Updated
- October 04, 2013
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)