Individual provider · Type 1 NPI

Brooke Elizabeth Wallace, OTR/L

Occupational Therapist · Wilmington, NC

NPI number 1760025043 Active

Practice location

9020 Senca Dr Ste 220
Wilmington, NC 28411-6680

Fax (910) 442-8372

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X12937 (NC)

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 1760025043

Brooke Elizabeth Wallace, OTR/L's National Provider Identifier is 1760025043, issued on Oct 19, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Wilmington, NC. The record was last updated on Jul 17, 2022.