Wallace, Ryan James

Wallace, Ryan James is an individual health care provider with primary practice located at 25241 Elementary Way Ste 200, Bonita Springs FL 34135-7883. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Wallace, Ryan James can be contacted via phone (239) 947-4184.

Contact Information

Primary practice address
25241 Elementary Way Ste 200 Bonita Springs FL 34135-7883
Phone: (239) 947-4184
Fax: (239) 947-4171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 18604 Florida

Profile Details

NPI number 1568420354
LBN Legal business name Wallace, Ryan James
Credentials PT, DPT, OCS, MTC
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated May 12th, 2015 - about 11 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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