Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Lynn Wallace, PTA

Individual provider Physical Therapy Assistant · NPI 1417539388

Amanda Lynn Wallace, PTA is a Physical Therapy Assistant in Halethorpe, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2021
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

1908 Woodside Ave
Halethorpe, MD 21227-4547
Phone: (410) 430-7257
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A4299 (MD)

Record details

NPI number1417539388
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedApril 21, 2021
Last updated in NPPESApril 21, 2021
Certification dateApril 21, 2021
Mailing address1908 Woodside Ave, Halethorpe, MD 21227-4547

Other providers in Halethorpe