Individual
ALICIA A WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1861 EAGLE VIEW CIR, ALBERT LEA, MN 56007-1818
(507) 373-2040
Mailing address
PO BOX 277, GENEVA, MN 56035-0277
(507) 383-4787
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1345
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A1345
BOARD OF MINNESOTA
MN
Enumeration date
01/11/2022
Last updated
01/11/2022
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