Wallace, Jessica Leigh
Wallace, Jessica Leigh is an individual health care provider with primary practice located at 224 Old River Rd , Bluffton SC 29909-3952. 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, Jessica Leigh can be contacted via phone (404) 434-3773.Contact Information
Primary practice address
224 Old River Rd
Bluffton SC 29909-3952
Phone: (404) 434-3773
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 6519 | South Carolina |
Profile Details
| NPI number | 1669751418 |
|---|---|
| LBN Legal business name | Wallace, Jessica Leigh |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2011 |
| Last updated | Feb 11th, 2013 - about 12 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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