Raymond M Wallace, COTA/L
NPI #1003490228 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1003490228
- Entity Type
- Individual
- Name
- Raymond M Wallace, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- May 12, 2021
- Last Updated
- May 12, 2021
Practice Location
- Address
- 6956 S 310TH EAST AVE
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74014-5491
- Phone
- (918) 230-8099
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
Similar Providers
| Provider Name | |
|---|---|
| MS. Marilyn Joyce Avery, O.T.A. | |
| MRS. Ashley Voss | |
| MS. Lydia Noel Hyslop, COTA/L | |
| Matthew Aaron Ruyle, COTA | |
| Brooklyn Danielle Kelly, COTA/L |
Want to research this healthcare provider further?
Try NewBizBot free