Wallace, Jordeen

Wallace, Jordeen is an individual health care provider with primary practice located at 1100 N Kentucky Ave , West Plains MO 65775-2029. 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, Jordeen can be contacted via phone (417) 257-5959.

Contact Information

Primary practice address
1100 N Kentucky Ave West Plains MO 65775-2029
Phone: (417) 257-5959
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 11903 Missouri

Profile Details

NPI number 1093856007
LBN Legal business name Wallace, Jordeen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2007
Last updated Jul 8th, 2007 - about 17 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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