Individual provider · Type 1 NPI

Kristen Wallace, COTA

Occupational Therapy Assistant · Monroe, LA

NPI number 1013752450 Active

Practice location

1605 Stubbs Ave
Monroe, LA 71201-5629

Call (318) 388-8414 Map

Fax (318) 388-8558

Other practice locations

  • 1603 Goodwin Rd, Ruston, LA 71270-2907 · (318) 255-7550

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X301141 (LA)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1013752450

Kristen Wallace, COTA's National Provider Identifier is 1013752450, issued on Jun 27, 2024. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Monroe, LA. The record was last updated on Jun 27, 2024.