Individual provider · Type 1 NPI

Carlie Elizabeth Wallace, OTD, OTR/L

Occupational Therapist · Winder, GA

NPI number 1326850124 Active

Practice location

204 Resource Ln
Winder, GA 30680-8361

Call (678) 963-0694 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT009419 (GA)

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 1326850124

Carlie Elizabeth Wallace, OTD, OTR/L's National Provider Identifier is 1326850124, issued on Jan 21, 2025. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Winder, GA. The record was last updated on Jan 21, 2025.