Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Anna Joan Wallace, COTA

Individual provider Occupational Therapy Assistant · NPI 1437421245

Anna Joan Wallace, COTA is an Occupational Therapy Assistant in St Petersburg, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

255 59th St N
St Petersburg, FL 33710-8539
Phone: (727) 345-2775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 12091 (FL)

Record details

NPI number1437421245
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedFebruary 8, 2012
Last updated in NPPESFebruary 8, 2012
Mailing address255 59th St N, St Petersburg, FL 33710-8539

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