Nancy Ann Wallace, COTA

NPI #1669717211 in Paragould, Arkansas

Provider Information

NPI Number
1669717211
Entity Type
Individual
Name
Nancy Ann Wallace, COTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Dec 10, 2012
Last Updated
Dec 10, 2012

Practice Location

Address
2909 FRIENDSHIP RD
ZIP Code
72450-7548
Phone
(601) 624-2618

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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