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

Tara Ezell Wallace, OTA

Individual provider Occupational Therapy Assistant · NPI 1265319842

Tara Ezell Wallace, OTA is an Occupational Therapy Assistant in Monroe, Louisiana. Licensed in Louisiana. Registered with an NPI since 2025.

Licensed in
LA
In the registry since
2025
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2301 Sterlington Rd
Monroe, LA 71203-3045
Phone: (318) 323-3426
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA.200015 (LA)

Record details

NPI number1265319842
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTA
Sole proprietorNo
NPI enumeratedAugust 18, 2025
Last updated in NPPESAugust 18, 2025
Certification dateAugust 18, 2025

Other providers in Monroe