Individual provider · Type 1 NPI

Mary Wallace, OTR

Occupational Therapist · St. Charles, MO

NPI number 1689398141 Active

Practice location

2150 W Randolph St
St. Charles, MO 63301-0844

Call (636) 946-4966 Map

Mailing address

7527 Teasdale Ave
St. Louis, MO 63130-3923

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X2022037104 (MO)

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 1689398141

Mary Wallace, OTR's National Provider Identifier is 1689398141, issued on Sep 28, 2022. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in St. Charles, MO. The record was last updated on Apr 14, 2023.