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

MS. Mandy L Wallace, MSRPT

Individual provider Physical Therapist · NPI 1962776948

MS. Mandy L Wallace, MSRPT is a Physical Therapist in Florence, South Carolina. Licensed in South Carolina. Registered with an NPI since 2012.

Licensed in
SC
In the registry since
2012

Practice location Address checks out

121 E Cedar St
Florence, SC 29506-2576
Phone: (843) 661-3426
Fax: (843) 661-3599
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 4051 (SC)

Record details

NPI number1962776948
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSRPT
Sole proprietorNo
NPI enumeratedMarch 8, 2012
Last updated in NPPESMarch 8, 2012
Mailing address1465 Norwood Rd, Olanta, SC 29114-9533

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