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

Reginald Eugene Wallace Jr., PTA

Individual provider Physical Therapy Assistant · NPI 1801242946

Reginald Eugene Wallace Jr., PTA is a Physical Therapy Assistant in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2016.

Licensed in
MD
In the registry since
2016
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

6137 Dunroming Rd
Baltimore, MD 21239-1924
Phone: (443) 610-9579
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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 A4439 (MD)

Record details

NPI number1801242946
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedMay 8, 2016
Last updated in NPPESMay 8, 2016

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