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

Kristin Marie Wall, OTR/L

Individual provider Occupational Therapist · NPI 1407107642

Kristin Marie Wall, OTR/L is an Occupational Therapist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

4646 N Marine Dr
Chicago, IL 60640-5759
Phone: (773) 564-5748
Fax: (773) 564-5689
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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 056007919 (IL)

Record details

NPI number1407107642
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedSeptember 27, 2012
Last updated in NPPESSeptember 27, 2012

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