Wallace, Michael

Wallace, Michael is an individual health care provider with primary practice located at 5455 Knickerbocker Rd , San Angelo TX 76904-7711. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Wallace, Michael can be contacted via phone (325) 944-1600.

Contact Information

Primary practice address
5455 Knickerbocker Rd San Angelo TX 76904-7711
Phone: (325) 944-1600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2027639 Texas

Profile Details

NPI number 1609356864
LBN Legal business name Wallace, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2018
Last updated Aug 17th, 2018 - about 7 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.

Request for update

Popular Providers