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

Dr. Angela Suzanne Wallace, OTD, MED, OTR/L

Individual provider Occupational Therapist · NPI 1073210522

Dr. Angela Suzanne Wallace, OTD, MED, OTR/L is an Occupational Therapist in Tallahassee, Florida. Licensed in Florida. Registered with an NPI since 2023.

Licensed in
FL
In the registry since
2023
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.
MED — Master of Education
A graduate education degree, written M.Ed.
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

1808 Medart Dr
Tallahassee, FL 32303-3420
Phone: (850) 909-5521
Fax: (850) 391-4178
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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 OT23936 (FL)

Record details

NPI number1073210522
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD , MED , OTR/L
Sole proprietorNo
NPI enumeratedFebruary 14, 2023
Last updated in NPPESMarch 1, 2023
Certification dateMarch 1, 2023

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