Individual provider · Type 1 NPI

Minetta Wallingford, OTR/L

Occupational Therapist · Riverside, IL

NPI number 1174160634 Active

Practice location

423 Addison Rd
Riverside, IL 60546-2007

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X056.003498 (IL)

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 1174160634

Minetta Wallingford, OTR/L's National Provider Identifier is 1174160634, issued on Dec 4, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Riverside, IL. The record was last updated on Dec 4, 2019.