Active NPIIndividual providerSole proprietor

Kimberly A Wallace

Occupational Therapist in Chester, New Jersey

NPI Number1881461317
Practice location
95 W Main St, Chester, NJ 07930-2487
Fax
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Last updated
December 5, 2023

Kimberly Anne Wallace is an Occupational Therapist based in Chester, NJ. Kimberly Anne Wallace practices in Chester, NJ. The NPI Number for Kimberly Anne Wallace is 1881461317 and holds a License No. 46TR00249900 (NJ). The current practice location address for Kimberly Anne Wallace is 95 W Main St, Chester, NJ 07930-2487 and can be reached out via phone at 908-879-7067.

Provider Profile Details

NPI Number
1881461317
Provider Name
Kimberly Anne Wallace
Provider Entity Type
Individual
Gender
Female
Address
95 W Main St, Chester, NJ 07930-2487
Phone Number
908-879-7067
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 5, 2023
Last Update Date
December 5, 2023
Certification Date
December 5, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
95 W Main St
Chester, NJ 07930-2487
Zip
07930-2487
Phone Number
908-879-7067
Chester, NJ 07930Get directions →

Provider Business Mailing Address Details

Address
35 Wehrli RD
Long Valley, NJ 07853-3418
City
Long Valley
State
NJ
Zip
07853-3418
Phone Number
908-510-4522

License Information

License Number
46TR00249900
License State
NJ
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 Kimberly A Wallace?

The NPI number of Kimberly A Wallace is 1881461317. It was assigned on December 5, 2023 and is currently active in the NPPES registry.

What is the specialty of Kimberly A Wallace?

Kimberly A Wallace is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NJ under license number 46TR00249900.

Where does Kimberly A Wallace practice?

The practice location is 95 W Main St, Chester, NJ 07930-2487. The office can be reached at 908-879-7067 (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 1881461317 directly on the NPPES registry website.

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