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

Jennifer N Wallace, PTA

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1851068910

Jennifer N Wallace, PTA is a Physical Medicine & Rehabilitation Physician in Vandalia, Ohio. Licensed in Ohio. Registered with an NPI since 2021.

Licensed in
OH
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

40 Larry Ave
Vandalia, OH 45377-3010
Phone: (937) 304-9702
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence PTA008822 (OH)

Record details

NPI number1851068910
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 26, 2021
Last updated in NPPESAugust 26, 2021
Certification dateAugust 8, 2021