Nicole Wallis
Occupational Therapist Occupational Therapist - Neurorehabilitation
3000 N State Rd 135
Greenwood
, Indiana 46143
Nicole Wallis
Occupational Therapist Occupational Therapist - Neurorehabilitation
3000 N State Rd 135
Greenwood
, Indiana 46143
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About
Features
Specialties
- Occupational Therapist
- Occupational Therapist - Neurorehabilitation
Languages spoken
- English
Location
First Address
- Nicole Wallis
- 910 N Dequincy St
- Indianapolis, IN
- Zip : 46201-2844
- Phone :
Second Address
- Nicole Wallis
- 3000 N State Rd 135
- Greenwood, IN
- Zip : 46143
- Phone : (800) 777-7775
Reviews
FAQs
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Does Nicole Wallis have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | ||
| N | 225XN1300X | Occupational Therapist - Neurorehabilitation |
National Provider Identifier
| NPI | 1629739206 |
|---|---|
| Provider Name | Nicole Wallis |
| First Address | Indianapolis, IN 46201-2844 |
| Second Address | Greenwood, IN 46143 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/01/2022 |
| Last Update Date | 05/01/2022 |
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.