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

Individual provider Occupational Therapist · NPI 1154205615

Kelsey Marie Wallace, OTD is an Occupational Therapist in Mount Pleasant, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2025
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.

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Practice location Address checks out

1017 Mystic Dr
Mount Pleasant, SC 29464-2793
Phone: (646) 465-0540
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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 7168 (SC)

Record details

NPI number1154205615
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD
Sole proprietorYes
NPI enumeratedAugust 5, 2025
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025

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