Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Christopher George Wallace, OTR/L

Individual provider Occupational Therapist · NPI 1629746904

Christopher George Wallace, OTR/L is an Occupational Therapist in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2021
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

6595 Roosevelt Blvd
Philadelphia, PA 19149-2998
Phone: (215) 743-2332
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OC017968 (PA)

Record details

NPI number1629746904
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedSeptember 1, 2021
Last updated in NPPESSeptember 1, 2021
Certification dateSeptember 1, 2021

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