Mrs. Dana Jill Wallace
Occupational Therapist Occupational Therapist - Hand
20925 Professional Plaza Suite 300
Ashburn
, Virginia 20147
Mrs. Dana Jill Wallace
Occupational Therapist Occupational Therapist - Hand
20925 Professional Plaza Suite 300
Ashburn
, Virginia 20147
(703) 997-4450
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About
Features
Specialties
- Occupational Therapist
- Occupational Therapist - Hand
Languages spoken
- English
Location
First Address
- Mrs. Dana Jill Wallace
- 20925 Professional Plaza Suite 300
- Ashburn, VA
- Zip : 20147
- Fax : (703) 997-4450
- Phone : (703) 544-7171
Second Address
- Mrs. Dana Jill Wallace
- 20925 Professional Plaza Suite 300
- Ashburn, VA
- Zip : 20147
- Fax : (703) 997-4450
- Phone : (703) 544-7171
Reviews
FAQs
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Is Mrs. Dana Jill Wallace a sole practitioner?
Is Mrs. Dana Jill Wallace accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 0119005354 | VA |
| N | 225X00000X | Occupational Therapist | OT004212 | GA |
| N | 225XH1200X | Occupational Therapist - Hand |
National Provider Identifier
| NPI | 1073730636 |
|---|---|
| Provider Name | Mrs. Dana Jill Wallace |
| First Address | Ashburn, VA 20147 |
| Second Address | Ashburn, VA 20147 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/04/2007 |
| Last Update Date | 17/05/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4695-0050 | CAREFIRST NCA (01) | |
| 9519754 | AETNA (01) | |
| 976238-01 | CAREFIRST MARYLAND (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.