Individual provider · Type 1 NPI

Patricia Ann Wallace, O.T.

Occupational Therapist · Indianapolis, IN

NPI number 1851354492 Active

Practice location

5949 W Raymond St
Indianapolis, IN 46241-4348

Call (317) 247-1579 Map

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X31000396A (IN)

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 1851354492

Patricia Ann Wallace, O.T.'s National Provider Identifier is 1851354492, issued on Apr 6, 2006. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Indianapolis, IN. The record was last updated on Aug 5, 2013.