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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. MANDY L WALLACE, MSRPT

Active

MS. MANDY L WALLACE, MSRPT is a Physical Therapy Assistant healthcare provider located in FLORENCE, South Carolina. NPI 1962776948 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · FLORENCE, SC

Registration Details

NPI Number
1962776948
Provider Type
Individual
Gender
Female
NPI Issued
Mar 8, 2012 (14.448326216423 yrs)
Last Updated
Mar 8, 2012
License
4051 (SC)

Practice Information

Address
121 E CEDAR ST
FLORENCE, SC, 295062576
Browse SC providers · Browse ZIP 29506
Phone
8436613426
Fax
8436613599
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in FLORENCE, SC

Name Credential NPI
PHILLIP D LOWE PT 1679523336
ELIZABETH BALLENGER CHASE PT, DPT 1578594875
EUGENIA M FORD PT 1669494894
MR. KEVIN O HATCHELL PT 1982711735
MRS. CYNTHIA ANN CANARINA PT DPT 1225136039
ASHLEE MCLEOD PT 1548360704
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.