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

Taylor Wallace, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1386410850

Taylor Wallace, COTA/L is an Occupational Therapy Assistant in Kennett Square, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2023
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

148 W State St Ste 103
Kennett Square, PA 19348-3055
Phone: (484) 432-1614
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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 OP009719 (PA)

Record details

NPI number1386410850
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedNovember 27, 2023
Last updated in NPPESNovember 27, 2023
Certification dateNovember 27, 2023
Mailing address700 Cherry Tree Rd Apt G2, Upper Chichester, PA 19014-2450

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