Wallace, Lisa Jean

Wallace, Lisa Jean is an sole proprietor health care provider with primary practice located at 480 Somerset St Unit 1 , North Plainfield NJ 07060-4018. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Wallace, Lisa Jean can be contacted via phone (954) 292-3295.

Contact Information

Primary practice address
480 Somerset St Unit 1 North Plainfield NJ 07060-4018
Phone: (954) 292-3295
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 46TA09127800 New Jersey

Profile Details

NPI number 1396368064
LBN Legal business name Wallace, Lisa Jean
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2020
Last updated May 28th, 2020 - 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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