MRS. Dana Jill Wallace, MS, OTR/L

NPI #1073730636 in Ashburn, Virginia

Provider Information

NPI Number: 1073730636
Entity Type: Individual
Name: MRS. Dana Jill Wallace, MS, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: MS, OTR/L
Enumeration Date: Apr 18, 2007
Last Updated: Aug 1, 2023

Practice Location

Address: 20925 PROFESSIONAL PLAZA
Address 2: SUITE 300
City: Ashburn
State: Virginia
ZIP Code: 20147
Phone: (703) 544-7171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary
Occupational Therapist - Hand — Hand	225XH1200X

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