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

PETER KENNEDY WALLACE, OTR/L

Active

PETER KENNEDY WALLACE, OTR/L is a Occupational Therapist healthcare provider located in CEDAR CITY, Utah. NPI 1992273841 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · CEDAR CITY, UT

Registration Details

NPI Number
1992273841
Provider Type
Individual
Gender
Male
NPI Issued
Nov 8, 2018 (7.737434490565 yrs)
Last Updated
Nov 8, 2018
License
10533523-4201 (UT)

Practice Information

Address
166 W 1325 N STE 100
CEDAR CITY, UT, 847217793
Browse UT providers · Browse ZIP 84721
Phone
4355860064
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in CEDAR CITY, UT

Name Credential NPI
CHAD R FLETCHER O.T.R.L 1780606848
GARLAND EARWOOD O.T. R. L. 1194735225
BARBARA JILL SPENCER OTR 1013429109
KASIDEE DANIELLE PASSEY OTR/L 1427698802
COLTON SAVAGE OT 1891452918
JONATHAN N ELLIS OTR/L 1124713821
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.