Wallace, Laurie Ann

Wallace, Laurie Ann is an sole proprietor health care provider with primary practice located at 130 Loma Vista Dr , Burlingame CA 94010. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Wallace, Laurie Ann can be contacted via phone (772) 321-4992.

Contact Information

Primary practice address
130 Loma Vista Dr Burlingame CA 94010
Phone: (772) 321-4992
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT18527 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AL617 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 42268 California

Profile Details

NPI number 1770704306
LBN Legal business name Wallace, Laurie Ann
Credentials MPT, ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2007
Last updated Feb 27th, 2019 - about 5 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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