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

Lisa Jean Wallace, COTA

Individual provider Occupational Therapy Assistant · NPI 1396368064

Lisa Jean Wallace, COTA is an Occupational Therapy Assistant in North Plainfield, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2020
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

480 Somerset St Unit 1
North Plainfield, NJ 07060-4018
Phone: (954) 292-3295
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 46TA09127800 (NJ)

Record details

NPI number1396368064
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorYes
NPI enumeratedMay 28, 2020
Last updated in NPPESMay 28, 2020
Certification dateMay 28, 2020

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