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

Lanee Arlett Wallace, OTR/L

Individual provider Occupational Therapist · NPI 1508475047

Lanee Arlett Wallace, OTR/L is an Occupational Therapist in Utica, Michigan. Licensed in Michigan. Registered with an NPI since 2020.

Licensed in
MI
In the registry since
2020
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

45752 Utica Park Blvd
Utica, MI 48315-5950
Phone: (330) 402-7541
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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 5201009918 (MI)

Record details

NPI number1508475047
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedJuly 30, 2020
Last updated in NPPESJuly 30, 2020
Certification dateJuly 30, 2020

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