Individual provider · Type 1 NPI

Connor Wallace

Occupational Therapist · Salt Lake City, UT

NPI number 1245005149 Active

Practice location

85 N Medical Dr
Salt Lake City, UT 84112-1100

Call (801) 587-3422 Map

Mailing address

445 N Hale St
Grantsville, UT 84029-9398

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XNone listed

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 1245005149

Connor Wallace's National Provider Identifier is 1245005149, issued on Nov 20, 2023. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Mar 4, 2024.