Individual
MRS. ALISSA NICOLE WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
25590 CORNELL RD, ARCADIA, IN 46030-9612
(317) 697-5759
Mailing address
25590 CORNELL RD, ARCADIA, IN 46030-9612
(317) 697-5759
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05006292A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200630040
—
IN
05
—
200728190
—
IN
Enumeration date
07/26/2006
Last updated
05/22/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us