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

CIERRA WALLACE, COTA

Active

CIERRA WALLACE, COTA is a Occupational Therapy Assistant healthcare provider located in MEDIA, Pennsylvania. NPI 1144978966 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · MEDIA, PA

Registration Details

NPI Number
1144978966
Provider Type
Individual
Gender
Female
NPI Issued
Mar 10, 2022 (4.3939095534811 yrs)
Last Updated
Mar 10, 2022
License
OP009514 (PA)

Practice Information

Address
1048 W BALTIMORE PIKE
MEDIA, PA, 190636300
Browse PA providers · Browse ZIP 19063
Phone
6105954969
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in MEDIA, PA

Name Credential NPI
NICOLE MCKENZIE DONABERGER C.D.T.A. 1902942493
MRS. DIANE L BISSINGER COTA 1467575340
MR. AUGUST BEHLING IV COTA/L 1417395807
MS. KAITLYN NEWS 1548665425
DIMOS TSIGKAKOS COTA/L 1801481213
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.