MS. Sandra J. Wallace, OTR

NPI #1093748717 in Richardson, Texas

Provider Information

NPI Number: 1093748717
Entity Type: Individual
Name: MS. Sandra J. Wallace, OTR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Jul 8, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 1701 N COLLINS BLVD
Address 2: SUITE 100
City: Richardson
State: Texas
ZIP Code: 75080-3564
Phone: (469) 385-4900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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