Stephanie R Wallace in Canton - Occupational Therapy Assistant
Stephanie R Wallace - NPI 1679755003
Stephanie R Wallace is a Occupational Therapy Assistant in Canton, Ohio. Stephanie R Wallace practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Stephanie R Wallace is 1679755003. The last update date is 2007-11-27.
Stephanie R Wallace's current location address is 5626 Lasater Dr Nw Apt 5, Canton, Ohio. You can contact this provider via phone number 3303137702. The mailing address for Stephanie R Wallace is 5626 Lasater Dr Nw Apt 5, Canton, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephanie R Wallace |
|---|---|
| Address | 5626 Lasater Dr Nw Apt 5, Canton, Ohio |
| Phone Number | 3303137702 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | COTA/L |
NPI Number Detail
| NPI Number | 1679755003 |
|---|---|
| Provider Enumeration Date | 2007-11-27 |
| Last Updated Date | 2007-11-27 |
Provider Mailing Address Detail
| Address | 5626 Lasater Dr Nw Apt 5 |
|---|---|
| City | Canton |
| State | Ohio (OH) |
| Post Code | 447181923 |
| Phone Number | 3303137702 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapy Assistant |
|---|---|
| Taxonomy | 224Z00000X |
| Licence No | OTA.03561 |
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Definition: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed |
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Post Comment/ Review Below
What is the Stephanie R Wallace's 1679755003?
The Stephanie R Wallace's NPI (National Provider Identifier) Number is 1679755003. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Stephanie R Wallace located?
The Stephanie R Wallace is located at 5626 Lasater Dr Nw Apt 5, Canton, OH 447181923.
What is Stephanie R Wallace's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Stephanie R Wallace is Occupational Therapy Assistant, and the taxonomy code that classifies this field of practice is 224Z00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1679755003 to Stephanie R Wallace?
The Stephanie R Wallace received its 1679755003 assignment from the Centers for Medicare & Medicaid Services on 2007-11-27.
As of what date was the information regarding Stephanie R Wallace, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Stephanie R Wallace, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-11-27.