Individual provider · Type 1 NPI

Amy Catherine Wallace, O.T.

Hand Occupational Therapist · Cumming, GA

NPI number 1376695627 Active

Practice location

2920 Ronald Reagan Blvd, Ste 110
Cumming, GA 30041

Fax (770) 880-0886

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000XOT004063 (GA)
Hand Occupational Therapist Primary 225XH1200XNone listed

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About NPI 1376695627

Amy Catherine Wallace, O.T.'s National Provider Identifier is 1376695627, issued on Jan 17, 2007. The primary taxonomy on file is Hand Occupational Therapist (225XH1200X), and the practice location is in Cumming, GA. The record was last updated on Dec 13, 2013.