Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA EZELL WALLACE, OTA
ActiveTARA EZELL WALLACE, OTA is a Occupational Therapy Assistant healthcare provider located in MONROE, Louisiana. NPI 1265319842 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · MONROE, LA
Registration Details
- NPI Number
- 1265319842
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 18, 2025 (0.94917272129484 yrs)
- Last Updated
- Aug 18, 2025
- License
-
OTA.200015 (LA)
Practice Information
- Address
-
2301 STERLINGTON RDMONROE, LA, 712033045Browse LA providers · Browse ZIP 71203
- Phone
- 3183233426
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in MONROE, LA
| Name | Credential | NPI |
|---|---|---|
| JON SMILEY | — | 1154538924 |
| MS. PAIGE REEVES MCKOIN | COTA/L | 1578710729 |
| ELIZABETH REDDING | SLP | 1295063964 |
| DEREK THOMAS | — | 1053642678 |
| ANGELA JONES | — | 1578859286 |
| LINDA HENDRICKS | — | 1922376268 |
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.