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

Cierra Wallace, COTA

Individual provider Occupational Therapy Assistant · NPI 1144978966

Cierra Wallace, COTA is an Occupational Therapy Assistant in Media, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2022.

Licensed in
PA
In the registry since
2022
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

1048 W Baltimore Pike
Media, PA 19063-6300
Phone: (610) 595-4969
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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 OP009514 (PA)

Record details

NPI number1144978966
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedMarch 10, 2022
Last updated in NPPESMarch 10, 2022
Certification dateMarch 10, 2022
Mailing address3003 W 12th St, Chester, PA 19013-1630

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