MS. Donna Lee Wallace, OT/L

NPI #1932475977 in Spring, Texas

Provider Information

NPI Number: 1932475977
Entity Type: Individual
Name: MS. Donna Lee Wallace, OT/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: OT/L
Enumeration Date: Mar 23, 2012
Last Updated: Mar 23, 2012

Practice Location

Address: 5600 CYPRESSWOOD DR
City: Spring
State: Texas
ZIP Code: 77379-8260
Phone: (832) 559-7767

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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