Individual provider · Type 1 NPI

Jennifer J. Wallace, COTA/L

Occupational Therapy Assistant · Mcalester, OK

NPI number 1114150604 Active

Practice location

101 Oklahoma Ave
Mcalester, OK 74501-7520

Call (580) 298-9818 Map

Fax (580) 298-9822

Mailing address

101 Oklahoma
Mcalester, OK 74501-7520

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X632 (OK)

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 1114150604

Jennifer J. Wallace, COTA/L's National Provider Identifier is 1114150604, issued on Aug 31, 2009. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Mcalester, OK. The record was last updated on Mar 25, 2021.