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:
Health care specialties
| Specialty | Code | License # | 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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