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

Donald D Wallace, PT

Individual provider Physical Therapist · NPI 1497078893

Donald D Wallace, PT is a Physical Therapist in Media, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
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

605 W State St First Fl
Media, PA 19063-2620
Phone: (610) 566-7424
Fax: (610) 892-0489
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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 PT017196 (PA)

Record details

NPI number1497078893
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedMarch 12, 2010
Last updated in NPPESMarch 12, 2010
Mailing address605 W State St, First Floor, Media, PA 19063-2620

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