Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER LYNN WALLACE, COTA/L
ActiveJENNIFER LYNN WALLACE, COTA/L is a Occupational Therapy Assistant healthcare provider located in WENTZVILLE, Missouri. NPI 1972264273 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · WENTZVILLE, MO
Registration Details
- NPI Number
- 1972264273
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 7, 2022 (4.613785132361 yrs)
- Last Updated
- Jan 7, 2022
- License
-
2010026736 (MO)
Practice Information
- Address
-
4009 RIVERDELL DRWENTZVILLE, MO, 633854775Browse MO providers · Browse ZIP 63385
- Phone
- 6367349985
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in WENTZVILLE, MO
| Name | Credential | NPI |
|---|---|---|
| MRS. DANA SUE KULICK X | COTA | 1689818189 |
| JENNIFER BOYER | — | 1144667783 |
| MISS MARGARET JOAN COLEGROVE | COTA/L | 1104206937 |
| MARY ANN ELIZABETH SIMON | COTA/L | 1528539046 |
| ABBY GRACE KOOPMANN | — | 1639836828 |
| CHARLA SALMON SHURTLEFF | COTA/L | 1528709524 |
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.