MRS. Kelli Wallace, COTA
NPI #1649667353 in Jacksonville, Arkansas
Provider Information
- NPI Number
- 1649667353
- Entity Type
- Individual
- Name
- MRS. Kelli Wallace, COTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA
- Enumeration Date
- Apr 20, 2015
- Last Updated
- Apr 20, 2015
Practice Location
- Address
- 2701 T P WHITE DR
- City
- Jacksonville
- State
- Arkansas
- ZIP Code
- 72076-2514
- Phone
- (501) 241-0410
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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