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 Not confirmed with CMS for 14 years — call before visiting
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

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