SearchCalifornia225X00000X

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