Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Leonarda Wallace, OTR/L

Individual provider Occupational Therapist · NPI 1174890396

Mrs. Leonarda Wallace, OTR/L is an Occupational Therapist in Staten Island, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
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

218 Edgegrove Ave
Staten Island, NY 10312-3512
Phone: (718) 873-7713
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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 7629418 (NY)

Record details

NPI number1174890396
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedNovember 17, 2011
Last updated in NPPESFebruary 12, 2016

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