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

Individual provider Occupational Therapist · NPI 1982971750

MS. Laurie Sue Nelson Wallace, OTR/L is an Occupational Therapist in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
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

4045 E Union Hills Dr Ste 110
Phoenix, AZ 85050
Phone: (602) 485-4444
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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 4932 (AZ)

Record details

NPI number1982971750
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedNovember 22, 2011
Last updated in NPPESAugust 24, 2018

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