Individual provider · Type 1 NPI

Kelli Wallace, COTA

Occupational Therapy Assistant · Jacksonville, AR

NPI number 1649667353 Active

Practice location

2701 T P White Dr
Jacksonville, AR 72076-2514

Call (501) 241-0410 Map

Fax (501) 241-0125

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOT-A969 (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 1649667353

Kelli Wallace, COTA's National Provider Identifier is 1649667353, issued on Apr 20, 2015. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Jacksonville, AR. The record was last updated on Apr 20, 2015.