NPI 1346817756

Kirsten Wallace, COTA

Practitioner Occupational Therapy Assistant Hartselle, AL

Practice location

Address: 530 Sparkman St SW, Hartselle, AL 35640-3120
Phone: (256) 585-5925

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 5127 (AL)

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Registry record

NPI: 1346817756
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jun 2021
Record last updated: 6 Jun 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.