# NOREEN WALLACE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1366518771
- **Gender:** F
- **Credential:** OTR L

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 00042 | CT | Yes |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 09/19/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 130000442CT01 | ANTHEM BLUE CROSS BLUE SH | — |
| 01 | — | 2957257 | AETNA | — |
| 01 | — | 2V8290 | ORTHONET | — |
| 01 | — | 747741 | CONNECTICARE | — |
| 01 | — | OV7803 | HEALTHNET | — |
| 01 | — | P815837 | OXFORD | — |