Clintin Spencer Wallace
Occupational Therapy Assistant · Lufkin, TX
Practice location
501 N Medford DrLufkin, TX 75901-5219
- Phone
- (936) 639-1252
NPI record
- NPI
- 1245712819
- Entity type
- Individual (Type 1)
- Enumeration date
- August 30, 2018
- Last updated
- August 30, 2018
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapy Assistant Primary | 224Z00000X |
— | — |
Mailing address
11978 County Road 302Nacogdoches, TX 75961-7687
- Phone
- (318) 235-2887
About Clintin Wallace
Clintin Spencer Wallace is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapy Assistant (code 224Z00000X). The practice location is 501 N Medford Dr, Lufkin, TX 75901-5219. The NPI number 1245712819 was assigned on August 30, 2018 and the record was last updated on August 30, 2018.
Frequently asked questions
What is the NPI number of Clintin Spencer Wallace?
The NPI number is 1245712819.
What is the phone number of Clintin Wallace?
The phone number listed for the practice location is (936) 639-1252.
Where is Clintin Wallace located?
501 N Medford Dr, Lufkin, TX 75901-5219.
What is the taxonomy code for Clintin Wallace?
The primary taxonomy code is 224Z00000X – Occupational Therapy Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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