Wallace, Terry

Wallace, Terry is an individual health care provider with primary practice located at 605 Rockmead Dr Suite 200, Humble TX 77339-2254. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is his primary health care specialty. Wallace, Terry can be contacted via phone (281) 348-9588.

Contact Information

Primary practice address
605 Rockmead Dr Suite 200 Humble TX 77339-2254
Phone: (281) 348-9588
Fax: (281) 348-2150
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 104330 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 1041100564 Texas

Profile Details

NPI number 1639112071
LBN Legal business name Wallace, Terry
Credentials LOT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Feb 10th, 2009 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639112071 NPPES
Texas Other 104330 OCCUPATIONAL THERAPY LICENSE

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