Individual provider · Type 1 NPI

Amanda Lynn Wallace, PTA

Physical Therapy Assistant · Halethorpe, MD

NPI number 1417539388 Active

Practice location

1908 Woodside Ave
Halethorpe, MD 21227-4547

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA4299 (MD)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1417539388

Amanda Lynn Wallace, PTA's National Provider Identifier is 1417539388, issued on Apr 21, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Halethorpe, MD. The record was last updated on Apr 21, 2021.