Wallace, Michelle

Wallace, Michelle is an sole proprietor health care provider with primary practice located at 75 Norman Pl , Tenafly NJ 07670-2537. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine, which is considered as her primary health care specialty. Wallace, Michelle can be contacted via phone (732) 761-0088.

Contact Information

Primary practice address
75 Norman Pl Tenafly NJ 07670-2537
Phone: (732) 761-0088
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine 2081P0010X 40QA00591600 New Jersey

Profile Details

NPI number 1477808947
LBN Legal business name Wallace, Michelle
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2012
Last updated Jul 19th, 2012 - about 12 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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