Wallis, Judy Lynn

Wallis, Judy Lynn is an sole proprietor health care provider with primary practice located at Marywood Health Center 111 Lakeside Drive Ne, Grand Rapids MI 49503. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Wallis, Judy Lynn can be contacted via phone (616) 453-7715.

Contact Information

Primary practice address
Marywood Health Center 111 Lakeside Drive Ne Grand Rapids MI 49503
Phone: (616) 453-7715
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 5502000688 Michigan
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X

Profile Details

NPI number 1356558324
LBN Legal business name Wallis, Judy Lynn
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2007
Last updated Dec 7th, 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.

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