NPI 1285877217
Courtney Brooke Wallace, PT
Practice location
- Address
- 3601 Windemere Pl, Raleigh, NC 27604-5961
- Phone
- (919) 601-0149
- Mailing address
- 9802 Carvel CT, Raleigh, NC 27613-5754
Registered specialties
Contractor
Primary
Registry record
- NPI
- 1285877217
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 Apr 2009
- Record last updated
- 22 Jan 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.