Wallace, Tamara

Wallace, Tamara is an individual health care provider with primary practice located at 333 Gellert Blvd #150, Daly City CA 94015-2621. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Wallace, Tamara can be contacted via phone (650) 758-4700.

Contact Information

Primary practice address
333 Gellert Blvd #150 Daly City CA 94015-2621
Phone: (650) 758-4700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X AT6816 California

Profile Details

NPI number 1962781880
LBN Legal business name Wallace, Tamara
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2011
Last updated Aug 9th, 2011 - about 15 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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