IndividualActive
Amy Wallace, O.T.
NPI 1376695627 · Hand Occupational Therapist · Cumming, GA
Provider details
- NPI number
- 1376695627
- Entity type
- Individual
- Primary specialty
- Hand Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- O.T.
- Sex
- Female
- Sole proprietor
- No
- License
- OT004063 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2920 Ronald Reagan Blvd
Ste 110
Cumming, GA 30041
Phone: (770) 889-0885
Fax: (770) 880-0886
Approximate (ZIP-level) locationGet directions
Mailing address
2920 Ronald Reagan Blvd
Cumming, GA 30041
Registry dates
- Enumerated
- 2007-01-17
- Last updated
- 2013-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.