Search › California › 225X00000X
Amy Wallace, OTR-L
NPI 1467517466 · on the registry since 2006
Practice
- Address
- 10539 Professional Cir
Suite 201
South Lake Tahoe, CA 96150 - Phone
- (775) 348-8800
- Fax
- (833) 687-1419
Additional practice sites
- 1749 N Stewart St Ste 50, Carson City, NV
- 780 Vista Blvd Ste 100, Sparks, NV
- 935 Mica Dr Ste 13, Carson City, NV
- 155 Highway 50 Fl 2, Stateline, NV
- 1139 3rd St, South Lake Tahoe, CA
- 2170 South Ave, South Lake Tahoe, CA
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Also registered as
- 225X00000X
- Licence states on file
- CA, NV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-07-24
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 California