Individual provider · Type 1 NPI

Leslie Ann Wallace, OT

Occupational Therapist · Ronan, MT

NPI number 1750444956 Active

Practice location

43922 Canal Rd
Ronan, MT 59864-9192

Fax (406) 676-2912

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X186 (MT)
Pediatric Occupational Therapist 225XP0200X186 (MT)

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 1750444956

Leslie Ann Wallace, OT's National Provider Identifier is 1750444956, issued on Dec 18, 2006. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Ronan, MT. The record was last updated on Sep 11, 2025.