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

Brandy Lynn Wallace, COTA

Individual provider Occupational Therapy Assistant · NPI 1447370416

Brandy Lynn Wallace, COTA is an Occupational Therapy Assistant in Andover, Kansas. Licensed in Kansas. Registered with an NPI since 2007.

Licensed in
KS
In the registry since
2007
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

621 W 21st St
Andover, KS 67002-8498
Phone: (316) 733-1349
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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 18-00605 (KS)

Record details

NPI number1447370416
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedMarch 31, 2007
Last updated in NPPESJuly 8, 2007
Mailing address5334 S Victoria Ct, Wichita, KS 67216-2073

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