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

Susan Wallace

Individual provider Physical Therapist · NPI 1639554769

Susan Wallace is a Physical Therapist in Augusta, Maine. Licensed in Maine. Registered with an NPI since 2015.

Licensed in
ME
In the registry since
2015

Practice location Address checks out

35 Medical Center Pkwy
Augusta, ME 04330-8160
Phone: (207) 621-3639
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT420 (ME)

Record details

NPI number1639554769
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 30, 2015
Last updated in NPPESJuly 30, 2015
Mailing address35 Medical Center Pkwy, Augusta, ME 04330-8160

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