Individual provider · Type 1 NPI

Kristin Nicole Wallace, M.S., OTR

Specialist · Appleton, WI

NPI number 1366745804 Active

Practice location

1506 S Oneida St
Appleton, WI 54915-1305

Call (920) 738-2000 Map

Mailing address

2935 N Rankin St
Appleton, WI 54911-1518

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1366745804

Kristin Nicole Wallace, M.S., OTR's National Provider Identifier is 1366745804, issued on Dec 6, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Appleton, WI. The record was last updated on Dec 6, 2010.