IndividualActive
Amanda Wallace
NPI 1972228534 · Occupational Therapist · Morgantown, WV
Provider details
- NPI number
- 1972228534
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1905 (WV)
Mailing address
26 Kimberly Cir
Fairmont, WV 26554-7998
Registry dates
- Enumerated
- 2022-10-06
- Last updated
- 2022-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.