AMANDA LYNN WALLACE PTA
NPI 1417539388
Physical Therapy Assistant in Halethorpe, MD
About Amanda Lynn Wallace Pta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA LYNN WALLACE PTA (NPI 1417539388) is an individual physical therapy assistant in Halethorpe, Maryland, licensed in Maryland (A4299) and active in the NPI registry since April 2021.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Amanda Wallace's NPI number?
The NPI number for Amanda Wallace is 1417539388. It was assigned to this individual provider in the NPPES registry on April 21, 2021.
Where is Amanda Wallace located?
Amanda Wallace practices at 1908 Woodside Ave, Halethorpe, MD 21227. The listed phone number is (410) 430-7257.
What is Amanda Wallace's specialty?
The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.
When was this NPI record last updated?
The NPPES record for Amanda Wallace was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.