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Amanda Wallace, PTA
NPI 1417539388 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1908 Woodside Ave
Halethorpe, MD 21227 - Phone
- (410) 430-7257
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-04-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland