SAMANTHA WALLACE, OTR/L
Occupational Therapist
Active
Individual
NPI: 1093270431
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Behavior Technician | 106S00000X | No | - |
| Occupational Therapist | 225X00000X | Yes | 25699 (CA) |
Frequently Asked Questions
NPI 1093270431 is the National Provider Identifier for SAMANTHA WALLACE, OTR/L, a Occupational Therapist provider located in Los Osos, CA. This NPI was enumerated on February 8, 2019.
SAMANTHA WALLACE, OTR/L practices at 2395 CONEJO CT, Los Osos, CA 93402.
Quick Facts
- NPI
- 1093270431
- Type
- Individual
- Enumerated
- Feb 8, 2019
- Last Updated
- Dec 27, 2023
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