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

Mrs. Nyriss Audrey Wallace

Individual provider Occupational Therapist · NPI 1780024646

Mrs. Nyriss Audrey Wallace is an Occupational Therapist in Fridley, Minnesota. Licensed in Minnesota. Registered with an NPI since 2013.

Licensed in
MN
In the registry since
2013

Practice location Address checks out

550 Osborne Rd NE
Fridley, MN 55432-2718
Phone: (763) 236-5000
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 104351 (MN)

Record details

NPI number1780024646
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 25, 2013
Last updated in NPPESJune 25, 2013

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