Wallace, Julia Danielle

Wallace, Julia Danielle is an individual health care provider with primary practice located at 1860 Atkinson Rd , Lawrenceville GA 30043-5065. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurorehabilitation, which is considered as her primary health care specialty. Wallace, Julia Danielle can be contacted via phone (706) 948-2773.

Contact Information

Primary practice address
1860 Atkinson Rd Lawrenceville GA 30043-5065
Phone: (706) 948-2773
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurorehabilitation 225XN1300X OT008010 Georgia

Profile Details

NPI number 1366105892
LBN Legal business name Wallace, Julia Danielle
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2021
Last updated Oct 21st, 2021 - about 4 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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