Wallace, Elizabeth
Wallace, Elizabeth is an sole proprietor health care provider with primary practice located at 1004 Oakgrove Dr , Knightdale NC 27545-9295. 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, Elizabeth can be contacted via phone (919) 880-0718.Contact Information
Primary practice address
1004 Oakgrove Dr
Knightdale NC 27545-9295
Phone: (919) 880-0718
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 10476 | North Carolina |
Profile Details
| NPI number | 1083017206 |
|---|---|
| LBN Legal business name | Wallace, Elizabeth |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 1st, 2014 |
| Last updated | Oct 1st, 2014 - about 10 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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