Search › Arkansas › 224Z00000X
Kelli Wallace, COTA
NPI 1649667353 · on the registry since 2015
Practice
- Address
- 2701 T P White Dr
Jacksonville, AR 72076 - Phone
- (501) 241-0410
- Fax
- (501) 241-0125
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-04-20
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 Arkansas