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

Andrea Wallace, PT

Individual provider Physical Therapist · NPI 1902116122

Andrea Wallace, PT is a Physical Therapist in Port Huron, Michigan. Licensed in Michigan. Registered with an NPI since 2010.

Licensed in
MI
In the registry since
2010
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1231 Pine Grove Ave Ste 1A
Port Huron, MI 48060-3500
Phone: (810) 985-6300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501010425 (MI)

Record details

NPI number1902116122
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 21, 2010
Last updated in NPPESOctober 21, 2010
Mailing address1231 Pine Grove Ave, Suite 1a, Port Huron, MI 48060-3500

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