Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA JEAN WALLACE, COTA
Active Sole ProprietorLISA JEAN WALLACE, COTA is a Occupational Therapy Assistant healthcare provider located in NORTH PLAINFIELD, New Jersey. NPI 1396368064 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · NORTH PLAINFIELD, NJ
Registration Details
- NPI Number
- 1396368064
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 28, 2020 (6.2313345123827 yrs)
- Last Updated
- May 28, 2020
- License
-
46TA09127800 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
480 SOMERSET ST UNIT 1NORTH PLAINFIELD, NJ, 070604018Browse NJ providers · Browse ZIP 07060
- Phone
- 9542923295
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in NORTH PLAINFIELD, NJ
| Name | Credential | NPI |
|---|---|---|
| MR. FLORENTINO APOSTADERO III | — | 1790374163 |
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.