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

Individual provider Occupational Therapy Assistant · NPI 1669717211

Nancy Ann Wallace, COTA is an Occupational Therapy Assistant in Paragould, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2012
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

2909 Friendship Rd
Paragould, AR 72450-7548
Phone: (601) 624-2618
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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 OT1220 (AR)

Record details

NPI number1669717211
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorYes
NPI enumeratedDecember 10, 2012
Last updated in NPPESDecember 10, 2012
Mailing address2909 Friendship Rd, Paragould, AR 72450-7548

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