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

Wallace Lee Thompson

Individual provider Physical Therapy Assistant · NPI 1306333422

Wallace Lee Thompson is a Physical Therapy Assistant in Bradford, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2018.

Licensed in
PA
In the registry since
2018

Practice location Address checks out

100 Saint Francis Dr
Bradford, PA 16701-1868
Phone: (814) 688-1531
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence TE1003187 (PA)

Record details

NPI number1306333422
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 14, 2018
Last updated in NPPESApril 14, 2018
Mailing address763 Priest Hollow Rd, Russell, PA 16345-4633

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