Individual provider · Type 1 NPI

Jennifer Lynn Wallace, COTA/L

Occupational Therapy Assistant · Wentzville, MO

NPI number 1972264273 Active

Practice location

4009 Riverdell Dr
Wentzville, MO 63385-4775

Call (636) 734-9985 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X2010026736 (MO)

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 1972264273

Jennifer Lynn Wallace, COTA/L's National Provider Identifier is 1972264273, issued on Jan 7, 2022. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Wentzville, MO. The record was last updated on Jan 7, 2022.