Individual provider · Type 1 NPI

Amy Ann Wallace, OTR-L

Occupational Therapist · South Lake Tahoe, CA

NPI number 1467517466 Active

Practice location

10539 Professional Cir, Suite 201
South Lake Tahoe, CA 96150-3828

Call (775) 348-8800 Map

Fax (833) 687-1419

Mailing address

PO Box 9578
South Lake Tahoe, CA 96158

Other practice locations

  • 1139 3rd St, South Lake Tahoe, CA 96150-3465 · (530) 543-5706
  • 2170 South Ave, South Lake Tahoe, CA 96150-7026 · (530) 543-5896
  • 1749 N Stewart St Ste 50, Carson City, NV 89706-2574 · (775) 348-8800
  • 780 Vista Blvd Ste 100, Sparks, NV 89434-6677 · (775) 348-8800
  • 155 Highway 50 Fl 2, Stateline, NV 89449-9816 · (775) 589-8953
  • 935 Mica Dr Ste 13, Carson City, NV 89705-7181 · (775) 783-3065

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000X3665 (CA)
Occupational Therapist Primary 225X00000X0721 (NV)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1467517466

Amy Ann Wallace, OTR-L's National Provider Identifier is 1467517466, issued on Dec 27, 2006. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Jul 24, 2023.