AMY ANN WALLACE

SOUTH LAKE TAHOE, CA
NPI1467517466
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NV  0721)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: CA  3665)
Enumeration Date2006-12-27
Last Update Date2023-07-24
Business Address
AMY ANN WALLACE OTR-L
10539 PROFESSIONAL CIR SUITE 201
SOUTH LAKE TAHOE, CA 96150-3828
Phone number: 775-348-8800
Mailing Address
AMY ANN WALLACE OTR-L
PO BOX 9578
SOUTH LAKE TAHOE, CA 96158
Phone number: 530-543-5896