Jolene C Wallace
Orientation and Mobility Training Provider
110 Apple House Ln
Missoula
, Montana 59802-3324
Jolene C Wallace
Orientation and Mobility Training Provider
110 Apple House Ln
Missoula
, Montana 59802-3324
(406) 549-3581
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About
Features
Specialties
- Orientation and Mobility Training Provider
Languages spoken
- English
Location
First Address
- Jolene C Wallace
- 110 Apple House Ln
- Missoula, MT
- Zip : 59802-3324
- Fax : (406) 549-3581
- Phone : (406) 360-9480
Second Address
- Jolene C Wallace
- 110 Apple House Ln
- Missoula, MT
- Zip : 59802-3324
- Fax : (406) 549-3581
- Phone : (406) 360-9480
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225CX0006X | Orientation and Mobility Training Provider |
National Provider Identifier
| NPI | 1861853269 |
|---|---|
| Provider Name | Jolene C Wallace |
| First Address | Missoula, MT 59802-3324 |
| Second Address | Missoula, MT 59802-3324 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/03/2016 |
| Last Update Date | 11/03/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.