Active NPIIndividual providerSole proprietor

Katelyn Wallace

Occupational Therapist in Manchester, New Hampshire

NPI Number1568908952
Practice location
3000 Goffs Falls RD, Ste 101, Manchester, NH 03111-1000
Fax
888-979-6551
Last updated
January 10, 2017

Katelyn Wallace is an Occupational Therapist based in Manchester, NH. Katelyn Wallace practices in Manchester, NH. The NPI Number for Katelyn Wallace is 1568908952 and holds a License No. 0119006994 (VA). The current practice location address for Katelyn Wallace is 3000 Goffs Falls RD, Ste 101, Manchester, NH 03111-1000 and can be reached out via phone at 800-995-2673 and via fax at 888-979-6551.

Provider Profile Details

NPI Number
1568908952
Provider Name
Katelyn Wallace
Provider Entity Type
Individual
Gender
Female
Address
3000 Goffs Falls RD, Ste 101, Manchester, NH 03111-1000
Phone Number
800-995-2673
Fax Number
888-979-6551
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 10, 2017
Last Update Date
January 10, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
3000 Goffs Falls RD
Ste 101
Manchester, NH 03111-1000
Zip
03111-1000
Phone Number
800-995-2673
Fax Number
888-979-6551
Manchester, NH 03111Get directions →

Provider Business Mailing Address Details

Address
3000 Goffs Falls RD
Ste 101
Manchester, NH 03111-1000
City
Manchester
State
NH
Zip
03111-1000
Phone Number
800-995-2673
Fax Number
888-979-6551

License Information

License Number
0119006994
License State
VA
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Katelyn Wallace?

The NPI number of Katelyn Wallace is 1568908952. It was assigned on January 10, 2017 and is currently active in the NPPES registry.

What is the specialty of Katelyn Wallace?

Katelyn Wallace is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in VA under license number 0119006994.

Where does Katelyn Wallace practice?

The practice location is 3000 Goffs Falls RD, Ste 101, Manchester, NH 03111-1000. The office can be reached at 800-995-2673 (phone) or 888-979-6551 (fax).

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 1568908952 directly on the NPPES registry website.

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