Wallace, Karen

Wallace, Karen is an sole proprietor health care provider with primary practice located at 111 Nature Walk Pkwy Suite 101, St Augustine FL 32092-5073. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Wallace, Karen can be contacted via phone (904) 230-7761.

Contact Information

Primary practice address
111 Nature Walk Pkwy Suite 101 St Augustine FL 32092-5073
Phone: (904) 230-7761
Fax: (904) 230-7763
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1568655348
LBN Legal business name Wallace, Karen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2007
Last updated Aug 24th, 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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