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

Kristen Wallace, COTA

Individual provider Occupational Therapy Assistant · NPI 1013752450

Kristen Wallace, COTA is an Occupational Therapy Assistant in Monroe, Louisiana. Practices as a sole proprietor and works from 2 locations. Licensed in Louisiana.

Licensed in
LA
In the registry since
2024
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

1605 Stubbs Ave
Monroe, LA 71201-5629
Phone: (318) 388-8414
Fax: (318) 388-8558
Show map & directions

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

Additional practice locations (1)

  • 1603 Goodwin Rd, Ruston, LA 71270-2907 — (318) 255-7550

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 301141 (LA)

Record details

NPI number1013752450
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorYes
NPI enumeratedJune 27, 2024
Last updated in NPPESJune 27, 2024
Certification dateJune 27, 2024
Mailing address1605 Stubbs Ave, Monroe, LA 71201-5629

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