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

Clintin Spencer Wallace

Individual provider Occupational Therapy Assistant · NPI 1245712819

Clintin Spencer Wallace is an Occupational Therapy Assistant in Lufkin, Texas. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

501 N Medford Dr
Lufkin, TX 75901-5219
Phone: (936) 639-1252
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X

Record details

NPI number1245712819
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 30, 2018
Last updated in NPPESAugust 30, 2018

Other providers in Lufkin