IndividualActive
Alicia Wallace
NPI 1720946551 · Physical Therapist · Chevy Chase, MD
Provider details
- NPI number
- 1720946551
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 30742 (MD)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5530 Wisconsin Ave Ste 960
Chevy Chase, MD 20815-4315
Phone: (301) 986-4745
Approximate (ZIP-level) locationGet directions
Mailing address
1270 4th St Ne Apt 1208
Washington, DC 20002-6899
Registry dates
- Enumerated
- 2026-01-12
- Last updated
- 2026-01-27
- Certified
- 2026-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.