Individual provider · Type 1 NPI

Blake Wallace

Occupational Therapy Assistant · Germantown, TN

NPI number 1821617663 Active

Practice location

7820 Walking Horse Cir
Germantown, TN 38138-2143

Call (901) 752-2500 Map

Mailing address

150 Evansville Rd
Coldwater, MS 38618-6778

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XTA3704 (MS)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1821617663

Blake Wallace's National Provider Identifier is 1821617663, issued on Apr 12, 2020. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Germantown, TN. The record was last updated on Apr 12, 2020.