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NPI Profile for RANDALL A WALLACE in OKLAHOMA CITY, OK.
A licensed physical therapist who has demonstrated specialized knowledge and skills pertaining to the workplace, occupational demands, prevention of work-related injury, management of the worker with job-related symptoms or participation restrictions, and provides individual, group or population level evaluation, intervention and consulting to enhance worker performance.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ergonomics |
2251E1200X | 65 | Physical Therapist in Private Practice | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice |
| NPI Number | 1497820252 |
|
| Status | Active | |
| Credentials | PT (Physical Therapist) | |
| Entity | Individual | |
| Enumeration date | 11/21/2006 | |
| Last updated | 09/11/2025 - About 9 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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RANDALL A WALLACE
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RANDALL A WALLACE, PT