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

DANIELLE WALLACE

Active Sole Proprietor

DANIELLE WALLACE is a Occupational Therapist healthcare provider located in MACON, Georgia. NPI 1528589629 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · MACON, GA

Registration Details

NPI Number
1528589629
Provider Type
Individual
Gender
Female
NPI Issued
Jun 29, 2017 (9.1383047722542 yrs)
Last Updated
Jun 29, 2017
License
OT005020 (GA)
Sole Proprietor
Yes

Practice Information

Address
5021 MERCER UNIVERSITY DR
MACON, GA, 312105691
Browse GA providers · Browse ZIP 31210
Phone
4788453520
Fax
4788453520
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in MACON, GA

Name Credential NPI
MEGAN S SAPP OT 1891737334
MR. FREDERICK W SITTERDING OT 1063423432
GEETU J MASAND O.T. 1124181201
MRS. CYNTHIA BERNADETTE REESE OTR 1770647562
MRS. LORI WHEELER MEALOR OT 1568517423
AMANDA CROSBY OT 1790801017
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.