Individual provider · Type 1 NPI

Tracy Wall

Occupational Therapy Assistant · Phoenix, AZ

NPI number 1386128361 Active

Practice location

7540 N 19th Ave
Phoenix, AZ 85021-7967

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X2012001565 (MO)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1386128361

Tracy Wall's National Provider Identifier is 1386128361, issued on Sep 17, 2018. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 17, 2018.