Search › Missouri › 224Z00000X
Jennifer Wallace, COTA/L
NPI 1972264273 · on the registry since 2022
Practice
- Address
- 4009 Riverdell Dr
Wentzville, MO 63385 - Phone
- (636) 734-9985
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-01-07
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 Missouri