Individual provider · Type 1 NPI

Brandy Lynn Wallace, COTA

Occupational Therapy Assistant · Andover, KS

NPI number 1447370416 Active

Practice location

621 W 21st St
Andover, KS 67002-8498

Call (316) 733-1349 Map

Mailing address

5334 S Victoria Ct
Wichita, KS 67216-2073

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X18-00605 (KS)

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 1447370416

Brandy Lynn Wallace, COTA's National Provider Identifier is 1447370416, issued on Mar 31, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Andover, KS. The record was last updated on Jul 8, 2007.