Wallace, Betsy A

Wallace, Betsy A is an individual health care provider with primary practice located at 3703 Camino Del Rio S Ste 100A, San Diego CA 92108-4031. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Wallace, Betsy A can be contacted via phone (619) 269-2336.

Contact Information

Primary practice address
3703 Camino Del Rio S Ste 100A San Diego CA 92108-4031
Phone: (619) 269-2336
Fax: (619) 269-7608
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT16506 California

Profile Details

NPI number 1831150705
LBN Legal business name Wallace, Betsy A
Credentials PT OCS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Mar 26th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831150705 NPPES
California Other CW038Z MEDICARE
California Other CW038X MEDICARE
California Other CW038Y MEDICARE

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