Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD LANCE WALLACE, PT
Active Sole ProprietorRICHARD LANCE WALLACE, PT is a Physical Therapy Assistant healthcare provider located in CHESTERFIELD, South Carolina. NPI 1023242112 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · CHESTERFIELD, SC
Registration Details
- NPI Number
- 1023242112
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 5, 2009 (17.268680511778 yrs)
- Last Updated
- May 5, 2009
- License
-
2559 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1034 BUCHANAN BRIDGE RDCHESTERFIELD, SC, 297096154Browse SC providers · Browse ZIP 29709
- Phone
- 8436239232
- Fax
- 8433201003
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in CHESTERFIELD, SC
| Name | Credential | NPI |
|---|---|---|
| PATRICIA ELLEN GRIFFITH | PT | 1689912933 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.