MRS. Taylor Ann Wallace, COTA/L

NPI #1659921229 in North Richland Hills, Texas

Provider Information

NPI Number
1659921229
Entity Type
Individual
Name
MRS. Taylor Ann Wallace, COTA/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA/L
Enumeration Date
Sep 16, 2019
Last Updated
Sep 16, 2019

Practice Location

Address
4257 RUFE SNOW DR APT 622
State
Texas
ZIP Code
76180-8572
Phone
(817) 914-3148

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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