Samantha Wallace, OTR/L
NPI #1093270431 in Los Osos, California
Provider Information
- NPI Number
- 1093270431
- Entity Type
- Individual
- Name
- Samantha Wallace, OTR/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist
- Credential
- OTR/L
- Enumeration Date
- Feb 8, 2019
- Last Updated
- Dec 27, 2023
Practice Location
- Address
- 2395 CONEJO CT
- City
- Los Osos
- State
- California
- ZIP Code
- 93402-4015
- Phone
- (661) 557-2024
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
| Occupational Therapist |
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