Individual provider · Type 1 NPI

Eli William Wallace, OT

Occupational Therapist · Lafayette, LA

NPI number 1891538070 Active

Practice location

400 Polly Ln
Lafayette, LA 70508-4966

Call (337) 443-0652 Map

Mailing address

105 Concerto Crst
Duson, LA 70529-3352

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOTT.200733 (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…

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About NPI 1891538070

Eli William Wallace, OT's National Provider Identifier is 1891538070, issued on Jun 17, 2024. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Lafayette, LA. The record was last updated on Jun 17, 2024.