Individual provider · Type 1 NPI

Dana Jill Wallace, MS, OTR/L

Occupational Therapist · Ashburn, VA

NPI number 1073730636 Active

Practice location

20925 Professional Plaza, Suite 300
Ashburn, VA 20147

Fax (703) 997-4450

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000XOT004212 (GA)
Hand Occupational Therapist 225XH1200XNone listed
Occupational Therapist Primary 225X00000X0119005354 (VA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1073730636

Dana Jill Wallace, MS, OTR/L's National Provider Identifier is 1073730636, issued on Apr 18, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Ashburn, VA. The record was last updated on Aug 1, 2023.