Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JUDY LYNN WALLIS, PTA
Active Sole ProprietorMRS. JUDY LYNN WALLIS, PTA is a Occupational Therapist healthcare provider located in GRAND RAPIDS, Michigan. NPI 1356558324 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1356558324
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 17, 2007 (19.200879755639 yrs)
- Last Updated
- Dec 7, 2018
- License
-
5502000688 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
MARYWOOD HEALTH CENTER111 LAKESIDE DRIVE NEGRAND RAPIDS, MI, 49503Browse MI providers · Browse ZIP 49503
- Phone
- 6164537715
- Primary Specialty
-
Occupational Therapist
225200000X
- Additional Specialty
- Occupational Therapist
Other Occupational Therapist Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. ROSEANN DONEY | ATC, PTA | 1134120959 |
| SHERYL ANN PYLMAN | P.T.A. | 1164533956 |
| MRS. ROBERTA K CLEMENTS | PTA | 1467545012 |
| TIMOTHY ADAM BOLEK | PTA | 1851511505 |
| JEFFREY ZAGAROLI | PTA | 1386803070 |
| MR. KEVIN JON EICKHOFF | PTA | 1023270295 |
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.