MARY WALLACE, OTR

Occupational Therapist

Active Individual
NPI: 1689398141

Practice Address

2150 W RANDOLPH ST
Saint Charles, MO 63301

Phone: (636) 946-4966

Specialties

Specialty Code Primary License
Occupational Therapist 225X00000X Yes 2022037104 (MO)

Frequently Asked Questions

NPI 1689398141 is the National Provider Identifier for MARY WALLACE, OTR, a Occupational Therapist provider located in Saint Charles, MO. This NPI was enumerated on September 28, 2022.
MARY WALLACE, OTR practices at 2150 W RANDOLPH ST, Saint Charles, MO 63301.

Quick Facts

NPI
1689398141
Type
Individual
Enumerated
Sep 28, 2022
Last Updated
Apr 14, 2023

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