Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. BEVERLY WALLACE, OTR/L
ActiveMRS. BEVERLY WALLACE, OTR/L is a Occupational Therapist healthcare provider located in BRADENTON, Florida. NPI 1174595367 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · BRADENTON, FL
Registration Details
- NPI Number
- 1174595367
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 2, 2006 (20.350478031595 yrs)
- Last Updated
- Jul 9, 2007
- License
-
OT9730 (FL)
Practice Information
- Address
-
3911 GOLF PARK LOOPSUITE #105BRADENTON, FL, 342033453Browse FL providers · Browse ZIP 34203
- Phone
- 9417561003
- Fax
- 9417566003
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in BRADENTON, FL
| Name | Credential | NPI |
|---|---|---|
| KIMBERLY A LOVELACE | OT | 1659360410 |
| MR. DONALD BOULANGER | OTR/L | 1124090311 |
| MR. MICHAEL T ROZMUS | OT/CHT | 1023047578 |
| MICHAEL JUZWA | OT | 1689604183 |
| MS. LENA THORESEN | OTR | 1285640797 |
| MS. SUZANNE LEAVEY | OTR | 1922198332 |
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.