WENDI MARIE WALLACE

CLACKAMAS, OR
NPI1427164920
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: OR  1023437)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: WA  OT00003555)
Enumeration Date2006-08-21
Last Update Date2007-07-08
Business Address
-- WENDI MARIE WALLACE OTR/L
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-652-2880
Mailing Address
-- WENDI MARIE WALLACE OTR/L
1162 NW 22ND AVE
CAMAS, WA 98607-7979
Phone number: 360-833-8327