Wallace, Courtney Brooke

Wallace, Courtney Brooke is an individual health care provider with primary practice located at 3601 Windemere Pl , Raleigh NC 27604-5961. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Wallace, Courtney Brooke can be contacted via phone (919) 601-0149.

Contact Information

Primary practice address
3601 Windemere Pl Raleigh NC 27604-5961
Phone: (919) 601-0149
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 8974 North Carolina

Profile Details

NPI number 1285877217
LBN Legal business name Wallace, Courtney Brooke
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2009
Last updated Jan 22nd, 2021 - about 5 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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