MRS. Pamala Rose Wallace, COTA

NPI #1154011856 in Nanicoke, Pennsylvania

Provider Information

NPI Number
1154011856
Entity Type
Individual
Name
MRS. Pamala Rose Wallace, COTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
May 8, 2023
Last Updated
May 8, 2023

Practice Location

Address
GUARDIAN HEALTH CARE AND REHABILITATION CENTER
Address 2
147 OLD NEWPORT ST
ZIP Code
18707
Phone
(570) 735-7300

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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