Individual provider · Type 1 NPI

Lawrence Wallace, MD, PT

Physical Therapist · North Myrtle Beach, SC

NPI number 1679567192 Active

Practice location

1021 2nd Ave N Ste 6
North Myrtle Beach, SC 29582-3200

Call (843) 286-5168 Map

Fax (844) 318-8980

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician 207X00000XMD439714 (PA)
Physical Therapist 225100000XP2177 (NC)
Orthopaedic Surgery Physician 207X00000X0101234728 (VA)
Physical Therapist Primary 225100000X11194 (SC)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1679567192

Lawrence Wallace, MD, PT's National Provider Identifier is 1679567192, issued on Sep 12, 2005. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in North Myrtle Beach, SC. The record was last updated on Jan 26, 2026.