RAYMOND M WALLACE COTA/L
NPI 1003490228
Occupational Therapy Assistant in Broken Arrow, OK
About Raymond M Wallace Cota/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAYMOND M WALLACE COTA/L (NPI 1003490228) is an individual occupational therapy assistant in Broken Arrow, Oklahoma, licensed in Oklahoma (569) and active in the NPI registry since May 2021.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Raymond Wallace's NPI number?
The NPI number for Raymond Wallace is 1003490228. It was assigned to this individual provider in the NPPES registry on May 12, 2021.
Where is Raymond Wallace located?
Raymond Wallace practices at 6956 S 310th East Ave, Broken Arrow, OK 74014. The listed phone number is (918) 230-8099.
What is Raymond Wallace's specialty?
The primary specialty registered for this NPI is Occupational Therapy Assistant with taxonomy code 224Z00000X.
When was this NPI record last updated?
The NPPES record for Raymond Wallace was last updated on May 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.