Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michelle Wallace, PT

Individual provider Pediatric Rehabilitation Medicine Physician · NPI 1477808947

Michelle Wallace, PT is a Pediatric Rehabilitation Medicine Physician in Tenafly, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2012
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

75 Norman Pl
Tenafly, NJ 07670-2537
Phone: (732) 761-0088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Rehabilitation Medicine Physician (primary) Taxonomy 2081P0010X · Licence 40QA00591600 (NJ)

Record details

NPI number1477808947
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedJuly 19, 2012
Last updated in NPPESJuly 19, 2012