Individual
SHAUNA WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
N14463 HIGHWAY 53, MINONG, WI 54859-9483
(715) 466-2297
Mailing address
716 STIGNEY ST, MINONG, WI 54859-8001
(715) 558-3725
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
4861-27
WI
225X00000X
Occupational Therapist
Primary
6369-26
WI
Other
Enumeration date
08/12/2015
Last updated
09/21/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us