Individual provider · Type 1 NPI

Antonio Marquez Wallace

Physical Therapy Assistant · Arlington, TX

NPI number 1780597534 Active

Practice location

1860 N Cooper St
Arlington, TX 76011-3639

Call (817) 385-9185 Map

Mailing address

2250 Sara Jane Pkwy Apt 10305
Grand Prairie, TX 75052-4922

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2179103 (TX)

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 1780597534

Antonio Marquez Wallace's National Provider Identifier is 1780597534, issued on Sep 23, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Arlington, TX. The record was last updated on Sep 23, 2026.