Wallace, Amy Ann

Wallace, Amy Ann is an individual health care provider with primary practice located at 10539 Professional Cir Suite 201, South Lake Tahoe CA 96150-3828. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Wallace, Amy Ann can be contacted via phone (775) 348-8800.

Contact Information

Primary practice address
10539 Professional Cir Suite 201 South Lake Tahoe CA 96150-3828
Phone: (775) 348-8800
Fax: (833) 687-1419
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 3665 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 0721 Nevada

Profile Details

NPI number 1467517466
LBN Legal business name Wallace, Amy Ann
Credentials OTR-L
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Jul 24th, 2023 - about 3 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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