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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KRISTIN MARIE WALLACE, OTR/L

Active

KRISTIN MARIE WALLACE, OTR/L is a Human Factors Occupational Therapist healthcare provider located in ARLINGTON, Virginia. NPI 1437455219 is currently active in the NPPES registry. Verify at CMS.

Human Factors Occupational Therapist · ARLINGTON, VA

Registration Details

NPI Number
1437455219
Provider Type
Individual
Gender
Female
NPI Issued
Jan 27, 2011 (15.543539316824 yrs)
Last Updated
Jan 30, 2019
Licenses
0119004399 (VA)
010000508 (DC)
220439 (OR)
2758 (NM)

Practice Information

Address
2110 WASHINGTON BLVD STE. 158
ARLINGTON, VA, 22204
Browse VA providers · Browse ZIP 22204
Phone
2024278290
Primary Specialty
Human Factors Occupational Therapist
225XH1300X
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.