Peter Kennedy Wallace, OTR/L
NPI #1992273841 in Cedar City, Utah
Provider Information
- NPI Number
- 1992273841
- Entity Type
- Individual
- Name
- Peter Kennedy Wallace, OTR/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist
- Credential
- OTR/L
- Enumeration Date
- Nov 8, 2018
- Last Updated
- Nov 8, 2018
Practice Location
- Address
- 166 W 1325 N STE 100
- City
- Cedar City
- State
- Utah
- ZIP Code
- 84721-7793
- Phone
- (435) 586-0064
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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