Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NANCY ANN WALLACE, COTA
Active Sole ProprietorNANCY ANN WALLACE, COTA is a Occupational Therapy Assistant healthcare provider located in PARAGOULD, Arkansas. NPI 1669717211 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · PARAGOULD, AR
Registration Details
- NPI Number
- 1669717211
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 10, 2012 (13.6360258463 yrs)
- Last Updated
- Dec 10, 2012
- License
-
OT1220 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2909 FRIENDSHIP RDPARAGOULD, AR, 724507548Browse AR providers · Browse ZIP 72450
- Phone
- 6016242618
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in PARAGOULD, AR
| Name | Credential | NPI |
|---|---|---|
| KASSEDY GATTIS | C.O.T.A./L. | 1396038865 |
| CARLY PORTER | COTA/L | 1992113609 |
| CALLIE CARDELLIA JORDAN | OTA | 1205215282 |
| KELSEY WHITNEY | COTA | 1740645415 |
| DELLA M MCCLUSKEY | COTA | 1487192811 |
| ERICA PIERCE | — | 1356881411 |
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.