NPI 1033882956

Kaitlin Jean Wallace

Practitioner Occupational Therapist Sheridan, WY

Practice location

Address: 918 W Brundage Ln, Sheridan, WY 82801-5827
Phone: (307) 673-4420
Mailing address: 814 N Custer St APT 102, Sheridan, WY 82801-3749

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence OT-1570 (WY)

Other Occupational Therapist providers in Wyoming →

Registry record

NPI: 1033882956
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jul 2021
Record last updated: 27 Jul 2021

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.