Individual provider · Type 1 NPI
Jonathan David Wallace, LOTR
Occupational Therapist · Heflin, LA
Practice location
870 Highway 516
Heflin, LA 71039-3726
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist Primary | 225X00000X | OTT.Z12243 (LA) |
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…
Another provider at this address
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About NPI 1770219693
Jonathan David Wallace, LOTR's National Provider Identifier is 1770219693, issued on Jul 25, 2022. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Heflin, LA. The record was last updated on Jul 25, 2022.