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

Mrs. Stephanie R Wallace, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1679755003

Mrs. Stephanie R Wallace, COTA/L is an Occupational Therapy Assistant in Canton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2007
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

5626 Lasater Dr NW Apt 5
Canton, OH 44718-1923
Phone: (330) 313-7702
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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 OTA.03561 (OH)

Record details

NPI number1679755003
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedNovember 27, 2007
Last updated in NPPESNovember 27, 2007

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