Individual provider · Type 1 NPI

Ann Elizabeth Wallace, OTR/L

Occupational Therapist · Salt Lake City, UT

NPI number 1710240635 Active

Practice location

1138 E Wilmington Ave
Salt Lake City, UT 84106-2819

Call (801) 581-2221 Map

Mailing address

PO Box 511258
Los Angeles, CA 90051-7813

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X8336770-4201 (UT)

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 1710240635

Ann Elizabeth Wallace, OTR/L's National Provider Identifier is 1710240635, issued on Jun 18, 2012. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Feb 11, 2022.