MRS. KELLI WALLACE, COTA
Occupational Therapy Assistant
Active
Individual
NPI: 1649667353
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | Yes | OT-A969 (AR) |
Frequently Asked Questions
NPI 1649667353 is the National Provider Identifier for MRS. KELLI WALLACE, COTA, a Occupational Therapy Assistant provider located in Jacksonville, AR. This NPI was enumerated on April 20, 2015.
MRS. KELLI WALLACE, COTA practices at 2701 T P WHITE DR, Jacksonville, AR 72076.
Quick Facts
- NPI
- 1649667353
- Type
- Individual
- Enumerated
- Apr 20, 2015
- Last Updated
- Apr 20, 2015
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