Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLINTIN SPENCER WALLACE
ActiveCLINTIN SPENCER WALLACE is a Occupational Therapy Assistant healthcare provider located in LUFKIN, Texas. NPI 1245712819 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · LUFKIN, TX
Registration Details
- NPI Number
- 1245712819
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2018 (7.9899013347729 yrs)
- Last Updated
- Aug 30, 2018
Practice Information
- Address
-
501 N MEDFORD DRLUFKIN, TX, 759015219Browse TX providers · Browse ZIP 75901
- Phone
- 9366391252
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in LUFKIN, TX
| Name | Credential | NPI |
|---|---|---|
| DINA DOMINQUEZ | — | 1720383284 |
| TIFFANI CREEL | — | 1568752764 |
| MR. JACOB TERRY BOUDREAUX | COTA | 1750648713 |
| CAROL LYNN TOBLEMAN | COTA | 1568963700 |
| JENNIFER LYNN BURSON | — | 1649750779 |
| TYRA WILLIAMS | — | 1477036119 |
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.