Lisa J Wallace, COTA
Occupational Therapy Assistant in North Plainfield, New Jersey
1396368064- Practice location
- 480 Somerset St Unit 1, North Plainfield, NJ 07060-4018
- Phone
- 954-292-3295
- Fax
- —
- Last updated
- May 28, 2020
Lisa Jean Wallace is an Occupational Therapy Assistant based in North Plainfield, NJ. Lisa Jean Wallace practices in North Plainfield, NJ and has the professional credentials of COTA. The NPI Number for Lisa Jean Wallace is 1396368064 and holds a License No. 46TA09127800 (NJ). The current practice location address for Lisa Jean Wallace is 480 Somerset St Unit 1, North Plainfield, NJ 07060-4018 and can be reached out via phone at 954-292-3295.
Provider Profile Details
- NPI Number
- 1396368064
- Provider Name
- Lisa Jean Wallace
- Credential
- COTA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 480 Somerset St Unit 1, North Plainfield, NJ 07060-4018
- Phone Number
- 954-292-3295
- Primary Taxonomy
- Occupational Therapy Assistant · 224Z00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 28, 2020
- Last Update Date
- May 28, 2020
- Certification Date
- May 28, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 480 Somerset St Unit 1
North Plainfield, NJ 07060-4018 - City
- North Plainfield
- State
- New Jersey
- Zip
- 07060-4018
- Phone Number
- 954-292-3295
Provider Business Mailing Address Details
- Address
- 77 Madison Ave
Morristown, NJ 07960-7330 - City
- Morristown
- State
- NJ
- Zip
- 07960-7330
- Phone Number
- 973-540-9800
License Information
- License Number
- 46TA09127800
- License State
- NJ
- Taxonomy
- Occupational Therapy Assistant · 224Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Lisa J Wallace, COTA?
The NPI number of Lisa J Wallace, COTA is 1396368064. It was assigned on May 28, 2020 and is currently active in the NPPES registry.
What is the specialty of Lisa J Wallace, COTA?
Lisa J Wallace, COTA is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in NJ under license number 46TA09127800.
Where does Lisa J Wallace, COTA practice?
The practice location is 480 Somerset St Unit 1, North Plainfield, NJ 07060-4018. The office can be reached at 954-292-3295 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396368064 directly on the NPPES registry website.