Taylor Wallace, COTA/L
NPI #1386410850 in Kennett Square, Pennsylvania
Provider Information
- NPI Number
- 1386410850
- Entity Type
- Individual
- Name
- Taylor Wallace, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Nov 27, 2023
- Last Updated
- Nov 27, 2023
Practice Location
- Address
- 148 W STATE ST STE 103
- City
- Kennett Square
- State
- Pennsylvania
- ZIP Code
- 19348-3055
- Phone
- (484) 432-1614
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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