Individual provider · Type 1 NPI

Whitney R. Wallace, COTA

Occupational Therapy Assistant · Louisville, KY

NPI number 1942551148 Active

Practice location

303 N Hurstbourne Pkwy, 200
Louisville, KY 40222-5185

Mailing address

306 Crestview Dr
Owensville, IN 47665-9258

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X32002004A (IN)

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 1942551148

Whitney R. Wallace, COTA's National Provider Identifier is 1942551148, issued on Sep 27, 2012. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Louisville, KY. The record was last updated on Sep 27, 2012.