Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA WALLACE, OTR/L
ActiveSAMANTHA WALLACE, OTR/L is a Occupational Therapist healthcare provider located in LOS OSOS, California. NPI 1093270431 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · LOS OSOS, CA
Registration Details
- NPI Number
- 1093270431
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 8, 2019 (7.5150257936112 yrs)
- Last Updated
- Dec 27, 2023
- License
-
25699 (CA)
Practice Information
- Address
-
2395 CONEJO CTLOS OSOS, CA, 934024015Browse CA providers · Browse ZIP 93402
- Phone
- 6615572024
- Primary Specialty
-
Occupational Therapist
225X00000X
- Additional Specialty
- Occupational Therapist
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.