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

Individual provider Physical Therapy Assistant · NPI 1245686013

Tangela Wallace, LPTA is a Physical Therapy Assistant in Tallahassee, Florida. Practices as a sole proprietor. Licensed in Florida and Georgia.

Licensed in
FL, GA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

3101 Ginger Dr
Tallahassee, FL 32308-4437
Phone: (850) 877-2177
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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 PTA26730 (FL)
Physical Therapy Assistant Taxonomy 225200000X · Licence PTA001884 (GA)

Record details

NPI number1245686013
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPTA
Sole proprietorYes
NPI enumeratedMay 10, 2016
Last updated in NPPESOctober 6, 2016

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