NPI 1013752450

Kristen Wallace, COTA

Practitioner Occupational Therapy Assistant Monroe, LA

Practice location

Address: 1605 Stubbs Ave, Monroe, LA 71201-5629
Phone: (318) 388-8414
Fax: (318) 388-8558

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 301141 (LA)

Other Occupational Therapy Assistant providers in Louisiana →

Registry record

NPI: 1013752450
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jun 2024
Record last updated: 27 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.