DR. BASIA WALLACE, OTD, OTR/L

Occupational Therapist

Active Individual
NPI: 1770351991

Practice Address

394 FEDERAL DR
Crystal Lake, IL 60014

Phone: (815) 459-3810

Specialties

Specialty Code Primary License
Occupational Therapist 225X00000X Yes 056.015836 (IL)

Frequently Asked Questions

NPI 1770351991 is the National Provider Identifier for DR. BASIA WALLACE, OTD, OTR/L, a Occupational Therapist provider located in Crystal Lake, IL. This NPI was enumerated on December 18, 2023.
DR. BASIA WALLACE, OTD, OTR/L practices at 394 FEDERAL DR, Crystal Lake, IL 60014.

Quick Facts

NPI
1770351991
Type
Individual
Enumerated
Dec 18, 2023
Last Updated
Dec 18, 2023

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