Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHELL WALLACE, PTA
ActiveMICHELL WALLACE, PTA is a Occupational Therapist healthcare provider located in TRUMBULL, Connecticut. NPI 1043554413 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · TRUMBULL, CT
Registration Details
- NPI Number
- 1043554413
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 24, 2012 (13.677339137901 yrs)
- Last Updated
- Nov 24, 2012
- License
-
000988 (CT)
Practice Information
- Address
-
6448 MAIN STTRUMBULL, CT, 066112075Browse CT providers · Browse ZIP 06611
- Phone
- 2032686204
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in TRUMBULL, CT
| Name | Credential | NPI |
|---|---|---|
| SUZANNE SMANIOTTO | — | 1518315761 |
| STACY TODISCO | — | 1740723402 |
| MR. PASCAL BUR | PTA | 1033641329 |
| MR. RAVI B KAUFMAN | PTA | 1861986846 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.