Jonathan David Wallace, LOTR
Jonathan David Wallace, LOTR is an Occupational Therapist in Heflin, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.
- Licensed in
- LA
- In the registry since
- 2022
Practice location Address checks out
870 Highway 516Heflin, LA 71039-3726
Phone: (318) 614-5684
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence OTT.Z12243 (LA) |
|---|
Record details
| NPI number | 1770219693 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LOTR |
| Sole proprietor | Yes |
| NPI enumerated | July 25, 2022 |
| Last updated in NPPES | July 25, 2022 |
| Certification date | July 25, 2022 |
| Mailing address | 870 Highway 516, Heflin, LA 71039-3726 |
Other providers in Heflin
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A to Z Therapy Solutions
870 Highway 516, Heflin, LA 71039-3726 · (318) 614-5684
-
Mrs. Amy Katina Kyles, LOTR
4890 Highway 371, Heflin, LA 71039-5316 · (318) 458-6014