Individual provider · Type 1 NPI

Leonarda Wallace, OTR/L

Occupational Therapist · Staten Island, NY

NPI number 1174890396 Active

Practice location

218 Edgegrove Ave
Staten Island, NY 10312-3512

Call (718) 873-7713 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X7629418 (NY)

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 1174890396

Leonarda Wallace, OTR/L's National Provider Identifier is 1174890396, issued on Nov 17, 2011. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Staten Island, NY. The record was last updated on Feb 12, 2016.