NPI 1114150604

Jennifer J Wallace, COTAL

Practitioner Occupational Therapy Assistant McAlester, OK

Practice location

Address: 101 Oklahoma Ave, McAlester, OK 74501-7520
Phone: (580) 298-9818
Fax: (580) 298-9822
Mailing address: 101 Oklahoma, McAlester, OK 74501-7520

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 632 (OK)

Other Occupational Therapy Assistant providers in Oklahoma →

Registry record

NPI: 1114150604
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Aug 2009
Record last updated: 25 Mar 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.