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IndividualActive

Raymond M Wallace

COTA/L

Occupational Therapy Assistant

NPI: 1003490228Broken Arrow, Oklahoma, 74014(918) 230-8099Male

About Raymond M Wallace

Raymond M Wallace, COTA/L, is a male healthcare professional specializing in Occupational Therapy Assistant, registered under National Provider Identifier (NPI) number 1003490228. Their primary practice is located at 6956 S 310TH EAST AVE, Broken Arrow, Oklahoma 74014.

Patients can reach the office at (918) 230-8099. Raymond M Wallace has been NPI-registered since 2021.

Doctor Details

Identity & Credentials

NPI Number
1003490228
Entity Type
Individual
First Name
Raymond
Last Name
Wallace
Credential
COTA/L
Gender
Male
Sole Proprietor
Yes
Status
active

Primary Practice Location

Address
6956 S 310TH EAST AVE
City
Broken Arrow
State
Oklahoma
ZIP
74014-5491
Country
United States
Phone
(918) 230-8099

Specialty & Taxonomy

Primary Specialty
Occupational Therapy Assistant
Classification
Occupational Therapy Assistant
Taxonomy Code
224Z00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
6956 S 310TH EAST AVE
City
BROKEN ARROW
State
OK
ZIP
740145491

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Raymond M Wallace's NPI number?
Raymond M Wallace's National Provider Identifier (NPI) is 1003490228. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Raymond M Wallace specialize in?
Raymond M Wallace specializes in Occupational Therapy Assistant.
Where is Raymond M Wallace located?
Raymond M Wallace practices at 6956 S 310TH EAST AVE, Broken Arrow, Oklahoma 74014. You can reach them by phone at (918) 230-8099.
Does Raymond M Wallace accept Medicare?
Based on available data, Raymond M Wallace is not currently enrolled in the Medicare program.
Does Raymond M Wallace offer telehealth or virtual visits?
Raymond M Wallace does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Raymond M Wallace is 1003490228.