Wallace Wellness Therapy & Performance LLC

NPI #1750990198 in Utica, Michigan

Provider Information

NPI Number
1750990198
Entity Type
Organization
Organization Name
Wallace Wellness Therapy & Performance LLC
Primary Specialty
Occupational Therapist
Enumeration Date
Jul 30, 2020
Last Updated
Jul 30, 2020

Practice Location

Address
45752 UTICA PARK BLVD
City
Utica
ZIP Code
48315-5950
Phone
(330) 402-7541

Authorized Official

Name
LANEE ARLETT WALLACE, MOT, OTR/L
Title
OCCUPATIONAL THERAPIST OTR/L
Phone
(330) 402-7541

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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