Individual provider · Type 1 NPI

Lisa Jean Wallace, COTA

Occupational Therapy Assistant · North Plainfield, NJ

NPI number 1396368064 Active

Practice location

480 Somerset St Unit 1
North Plainfield, NJ 07060-4018

Mailing address

77 Madison Ave
Morristown, NJ 07960-7330

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X46TA09127800 (NJ)

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 1396368064

Lisa Jean Wallace, COTA's National Provider Identifier is 1396368064, issued on May 28, 2020. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in North Plainfield, NJ. The record was last updated on May 28, 2020.