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ELI WALLACE, OT

OT

Occupational Therapist

NPI: 1891538070IndividualAccepts Medicare

Specialties, Licenses & Credentials

Occupational TherapistPrimary

Occupational Therapist

Code: 225X00000X

OTT.200733(LA)

CMS Specialties

PrimaryOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE

Education

OTHER

Class of 2014

Contact & Hours

Address
400 POLLY LN
LAFAYETTE, LA 70508

Quick Facts

NPI
1891538070
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
12

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