Jennifer Nicole Wallace
Jennifer Nicole Wallace is an Occupational Therapy Assistant in Ruckersville, Virginia. Licensed in Virginia. Registered with an NPI since 2022.
- Licensed in
- VA
- In the registry since
- 2022
Practice location Address checks out
69 Deane RdRuckersville, VA 22968-3482
Phone: (434) 481-3524
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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 0131002787 (VA) |
|---|
Record details
| NPI number | 1538879309 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 1, 2022 |
| Last updated in NPPES | December 1, 2022 |
| Certification date | December 1, 2022 |