Individual provider · Type 1 NPI

Brooke Wallace, COTA/L

Occupational Therapy Assistant · Jonesboro, AR

NPI number 1477020659 Active

Practice location

1699 Red Wolf Blvd
Jonesboro, AR 72401-5442

Call (870) 336-0021 Map

Mailing address

313 Natchez Dr
Jonesboro, AR 72404-9104

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOT-A1418 (AR)

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 1477020659

Brooke Wallace, COTA/L's National Provider Identifier is 1477020659, issued on Oct 25, 2018. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Jonesboro, AR. The record was last updated on May 20, 2021.