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

Individual provider Occupational Therapist · NPI 1114627593

Dr. Camille N Wallace, OTD, OTR/L is an Occupational Therapist in Colorado Springs, Colorado. Licensed in Colorado. Registered with an NPI since 2023.

Licensed in
CO
In the registry since
2023
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.
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

1130 W Woodmen Rd
Colorado Springs, CO 80919-2726
Phone: (719) 574-5562
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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 OT.0007644 (CO)

Record details

NPI number1114627593
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD , OTR/L
Sole proprietorNo
NPI enumeratedMarch 6, 2023
Last updated in NPPESMarch 6, 2023
Certification dateMarch 6, 2023

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