Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARYKELLY WALLACE, MOTR/L
ActiveMARYKELLY WALLACE, MOTR/L is a Occupational Therapist healthcare provider located in DEARBORN, Michigan. NPI 1598372187 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · DEARBORN, MI
Registration Details
- NPI Number
- 1598372187
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 28, 2020 (5.6909957502323 yrs)
- Last Updated
- Feb 14, 2025
- License
-
5201010849 (MI)
Practice Information
- Address
-
1 PARKLANE BLVD STE 200DEARBORN, MI, 481264221Browse MI providers · Browse ZIP 48126
- Phone
- 3138462606
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in DEARBORN, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. SHEILA LYNN-KERNODLE NORWOOD | OTR | 1366503187 |
| PHYLLIS JOY COULTER-BROWN | OTR | 1104950476 |
| JULIE BUTLER-TALOVICH | O.T. | 1437270717 |
| MRS. MARGARET AMM BRENNAN | M.S., OTR | 1972725604 |
| ANNA G FINNERAN | OTR | 1235326307 |
| MS. KIMBERLY MARIE PACE | O.T.R. | 1083882724 |
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.