Amanda Lynn Wallace, PTA Valid NPI

Individual provider · Physical Therapy Assistant · Halethorpe, MD

NPI

1417539388

Type

Individual (Type 1)

Primary specialty

Physical Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225200000X

License number

A4299 (MD)

Sex

Female

Sole proprietor

Yes

Enumerated

2021-04-21

Last updated

2021-04-21