Individual
DR. ANGELA SUZANNE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, M.ED., OTR/L
Contact information
Practice address
1808 MEDART DR, TALLAHASSEE, FL 32303-3420
(850) 909-5521
(850) 391-4178
Mailing address
1808 MEDART DR, TALLAHASSEE, FL 32303-3420
(850) 909-5521
(850) 391-4178
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT23936
FL
Other
Enumeration date
02/14/2023
Last updated
03/01/2023
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