Wallace, Gayle Ann

Wallace, Gayle Ann is an sole proprietor health care provider with primary practice located at 40778 Rainier Dr , Sterling Heights MI 48313-5367. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Wallace, Gayle Ann can be contacted via phone (586) 819-6887.

Contact Information

Primary practice address
40778 Rainier Dr Sterling Heights MI 48313-5367
Phone: (586) 819-6887
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 5502001041 Michigan

Profile Details

NPI number 1164153409
LBN Legal business name Wallace, Gayle Ann
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2022
Last updated Jun 17th, 2022 - about 2 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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