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

Sophia Wallace

Individual provider Physical Therapy Assistant · NPI 1689372419

Sophia Wallace is a Physical Therapy Assistant in Orlando, Florida. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

830 29th St Orlando Fl 32805
Orlando, FL 32805
Phone: (407) 843-3230
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1689372419
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 21, 2023
Last updated in NPPESFebruary 21, 2023
Certification dateFebruary 17, 2023
Mailing address2600 Compass Rd, Glenview, IL 60026-8001

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