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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER J WALLACE, COTA/L

Active

JENNIFER J WALLACE, COTA/L is a Occupational Therapy Assistant healthcare provider located in MCALESTER, Oklahoma. NPI 1114150604 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · MCALESTER, OK

Registration Details

NPI Number
1114150604
Provider Type
Individual
Gender
Female
NPI Issued
Aug 31, 2009 (16.91214708932 yrs)
Last Updated
Mar 25, 2021
License
632 (OK)

Practice Information

Address
101 OKLAHOMA AVE
MCALESTER, OK, 745017520
Browse OK providers · Browse ZIP 74501
Phone
5802989818
Fax
5802989822
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in MCALESTER, OK

Name Credential NPI
MS. JAMIE SUZETTE STEVENS COTA/L 1841548294
MRS. MEGAN SELF COTA/L 1336566553
JILL EDDINGS COTA/L 1447640933
ERICA DANIELLE BUTLER COTA 1144695248
CARA THOMAS COTA 1902266398
JOYCE MARIE WINTERS COTA/L 1306369897
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.