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

Katelyn Wallace

Individual provider Occupational Therapist · NPI 1568908952

Katelyn Wallace is an Occupational Therapist in Manchester, New Hampshire. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2017

Practice location Address checks out

3000 Goffs Falls Rd Ste 101
Manchester, NH 03111-1000
Phone: (800) 995-2673
Fax: (888) 979-6551
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 0119006994 (VA)

Record details

NPI number1568908952
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 10, 2017
Last updated in NPPESJanuary 10, 2017

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