Wallace, Peter Kennedy

Wallace, Peter Kennedy is an individual health care provider with primary practice located at 166 W 1325 N Ste 100 , Cedar City UT 84721-7793. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Wallace, Peter Kennedy can be contacted via phone (435) 586-0064.

Contact Information

Primary practice address
166 W 1325 N Ste 100 Cedar City UT 84721-7793
Phone: (435) 586-0064
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 10533523-4201 Utah

Profile Details

NPI number 1992273841
LBN Legal business name Wallace, Peter Kennedy
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2018
Last updated Nov 8th, 2018 - about 8 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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