Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMY ANN WALLACE, OTR-L
ActiveAMY ANN WALLACE, OTR-L is a Occupational Therapist healthcare provider located in SOUTH LAKE TAHOE, California. NPI 1467517466 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · SOUTH LAKE TAHOE, CA
Registration Details
- NPI Number
- 1467517466
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 27, 2006 (19.59122641661 yrs)
- Last Updated
- Jul 24, 2023
- Licenses
-
3665 (CA)0721 (NV)
Practice Information
- Address
-
10539 PROFESSIONAL CIRSUITE 201SOUTH LAKE TAHOE, CA, 961503828Browse CA providers · Browse ZIP 96150
- Phone
- 7753488800
- Fax
- 8336871419
- Primary Specialty
-
Occupational Therapist
225X00000X
- Additional Specialty
- Occupational Therapist
Other Occupational Therapist Providers in SOUTH LAKE TAHOE, CA
| Name | Credential | NPI |
|---|---|---|
| JANA R MORTELLARO | MS, OTR-L, CHT | 1083779086 |
| ANGELA KAY FLUITT | OTR/L, CHT | 1073654307 |
| MIRANDA RENEE MILLER | OTR/L | 1790026599 |
| JOSEPH DEANOVICH | OTR | 1164883856 |
| JILL PARMELE | OTR | 1083075501 |
| BRITTAINY HYSLOP | OTR | 1497117741 |
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.