Back to Search

JONATHAN WALLACE, LOTR

LOTR

Occupational Therapist

NPI: 1770219693Individual

Specialties, Licenses & Credentials

Occupational TherapistPrimary

Occupational Therapist

Code: 225X00000X

OTT.Z12243(LA)

Contact & Hours

Address
870 HIGHWAY 516
HEFLIN, LA 71039

Quick Facts

NPI
1770219693
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

Are you this provider?

Claim Your Profile