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

Jennifer J Wallace, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1114150604

Jennifer J Wallace, COTA/L is an Occupational Therapy Assistant in McAlester, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2009.

Licensed in
OK
In the registry since
2009
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

101 Oklahoma Ave
McAlester, OK 74501-7520
Phone: (580) 298-9818
Fax: (580) 298-9822
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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 632 (OK)

Record details

NPI number1114150604
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedAugust 31, 2009
Last updated in NPPESMarch 25, 2021
Certification dateFebruary 3, 2021

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