Wallace, Tracy Dawn
Wallace, Tracy Dawn is an individual health care provider with primary practice located at 1290 Lawrence Station Rd , Sunnyvale CA 94089-2220. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Wallace, Tracy Dawn can be contacted via phone (408) 743-5332.Contact Information
Primary practice address
1290 Lawrence Station Rd
Sunnyvale CA 94089-2220
Phone: (408) 743-5332
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 8081 | California |
Profile Details
| NPI number | 1437663986 |
|---|---|
| LBN Legal business name | Wallace, Tracy Dawn |
| Credentials | MS, OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 20th, 2017 |
| Last updated | Nov 20th, 2017 - about 9 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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