Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KELLI WALLACE, COTA
ActiveMRS. KELLI WALLACE, COTA is a Occupational Therapy Assistant healthcare provider located in JACKSONVILLE, Arkansas. NPI 1649667353 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · JACKSONVILLE, AR
Registration Details
- NPI Number
- 1649667353
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 20, 2015 (11.277898398938 yrs)
- Last Updated
- Apr 20, 2015
- License
-
OT-A969 (AR)
Practice Information
- Address
-
2701 T P WHITE DRJACKSONVILLE, AR, 720762514Browse AR providers · Browse ZIP 72076
- Phone
- 5012410410
- Fax
- 5012410125
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in JACKSONVILLE, AR
| Name | Credential | NPI |
|---|---|---|
| MRS. CHARLOTTE B RYE | COTA | 1801953633 |
| JENNIFER LYNNE RINEAR | COTA | 1184880056 |
| MS. CASEY MARIE CLINE | COTA/L | 1851640429 |
| HANNAH OLIVIA CASTLE | COTA | 1730650920 |
| ALEXANDRIA DANIELLE JULIAN | COTA/L | 1275207706 |
| BAILEY ELIZABETH VOLKMAN | COTA/L | 1134889926 |
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.