Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDEEN WALLACE
ActiveJORDEEN WALLACE is a Occupational Therapist healthcare provider located in WEST PLAINS, Missouri. NPI 1093856007 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · WEST PLAINS, MO
Registration Details
- NPI Number
- 1093856007
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 11, 2007 (19.461348148035 yrs)
- Last Updated
- Jul 8, 2007
- License
-
11903 (MO)
Practice Information
- Address
-
1100 N KENTUCKY AVEWEST PLAINS, MO, 657752029Browse MO providers · Browse ZIP 65775
- Phone
- 4172575959
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in WEST PLAINS, MO
| Name | Credential | NPI |
|---|---|---|
| MRS. TAMMERA J BARKS | — | 1932132875 |
| JOHN PAUL MILLER | PTA | 1841201779 |
| LORI HALL | — | 1003957002 |
| JODIE RHOADS | — | 1396886305 |
| MR. DANNY LEE ADAMS JR. | PTA | 1043417942 |
| MATHEW ZIMMER | PTA | 1811129182 |
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.