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Jennifer Wallace, COTA/L

NPI 1114150604 · on the registry since 2009

Practice

Address: 101 Oklahoma Ave
Mcalester, OK 74501
Phone: (580) 298-9818
Fax: (580) 298-9822
Organisation at this address: Kidzchoice, Pc
Lee Pletts Goscin Md Phd Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: Occupational Therapy Assistant
224Z00000X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-03-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma