<Unavail>

LBN: Bethann Wallace
<Unavail> is an health care organization with primary practice located at 1416 Churchville Ave Suite A, Staunton VA 24401. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Bethann Wallace can be contacted via phone (540) 213-0345, or through Wallace, Bethann via phone (540) 213-0345.

Contact Information

Primary practice address
1416 Churchville Ave Suite A Staunton VA 24401
Phone: (540) 213-0345
Fax: (540) 886-2609
Website:
Map and Directions
Authorized official contact:
Name: Wallace, Bethann PT PHYSICAL THERAPIS
Phone: (540) 213-0345

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305005759 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 235005465 Virginia

Profile Details

NPI number 1396809125
LBN Legal business name Bethann Wallace
DBA Doing business as <Unavail>
Authorized official Wallace, Bethann PT PHYSICAL THERAPIS
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2006
Last updated Jul 14th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1396809125 NPPES
Virginia Other 194028 ANTHEM

Popular Providers