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Contact Information

SOPHIA WALLACE
830 29TH ST, ORLANDO, FL 32805
ORLANDO, FL32805
 Phone: 407-843-3230
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for SOPHIA WALLACE · (Female)

NPI Number 1689372419
Status Active
Credentials
Entity Individual
Enumeration date 02/21/2023
Last updated 02/21/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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