Individual provider · Type 1 NPI

Reginald Eugene Wallace Jr., PTA

Physical Therapy Assistant · Baltimore, MD

NPI number 1801242946 Active

Practice location

6137 Dunroming Rd
Baltimore, MD 21239-1924

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA4439 (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 1801242946

Reginald Eugene Wallace Jr., PTA's National Provider Identifier is 1801242946, issued on May 8, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Baltimore, MD. The record was last updated on May 8, 2016.