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

ALICIA A WALLACE, PTA

Active

ALICIA A WALLACE, PTA is a Occupational Therapist healthcare provider located in ALBERT LEA, Minnesota. NPI 1952052060 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · ALBERT LEA, MN

Registration Details

NPI Number
1952052060
Provider Type
Individual
Gender
Female
NPI Issued
Jan 11, 2022 (4.6229119682226 yrs)
Last Updated
Jan 11, 2022
License
A1345 (MN)

Practice Information

Address
1861 EAGLE VIEW CIR
ALBERT LEA, MN, 560071818
Browse MN providers · Browse ZIP 56007
Phone
5073732040
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in ALBERT LEA, MN

Name Credential NPI
CRAIG MEYER PTA 1144573163
PENNY HAMMER PTA 1891207213
CHARITY HOWELL 1205483294
HEATHER ROSE FEARS 1205401759
TERESA K NIEMI PTA 1689472896
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.