| Amy Catherine Wallace, OT | |
|
2920 Ronald Reagan Blvd, Ste 110, Cumming, GA 30041 | |
| (770) 889-0885 | |
| (770) 880-0886 |
| Full Name | Amy Catherine Wallace |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Hand |
| Location | 2920 Ronald Reagan Blvd, Cumming, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376695627 | NPI | - | NPPES |
| 899040116A | Medicaid | GA | |
| 1376695627 | Other | GA | BCBS |
| 611446156001 | Other | TRICARE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT004063 (Georgia) | Secondary |
| 225XH1200X | Occupational Therapist - Hand | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Catherine Wallace, OT 2920 Ronald Reagan Blvd, Ste 110, Cumming, GA 30041 Ph: (770) 889-0885 | Amy Catherine Wallace, OT 2920 Ronald Reagan Blvd, Ste 110, Cumming, GA 30041 Ph: (770) 889-0885 |
Mr. Dwain Cassady, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 980 Ivy St, Cumming, GA 30041 Phone: 770-844-0206 Fax: 770-844-4487 | |
Jessica Marie Schaff, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 5456 Bethelview Rd Ste 103, Cumming, GA 30040 Phone: 954-816-3130 | |
Essential Therapy Services Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4640 Martin Road, Suite 300, Cumming, GA 30041 Phone: 678-679-1261 | |
Lora Giovannucci Rhone, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2170 Bricker Ct, Cumming, GA 30041 Phone: 740-703-5241 | |
Hannah Ekhlas, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4640 Martin Rd, Cumming, GA 30041 Phone: 678-679-1261 | |
Genna Cooper, MHS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2450 Atlanta Hwy Ste 701, Cumming, GA 30040 Phone: 404-834-8404 | |
Emma Hogue, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4640 Martin Rd, Cumming, GA 30041 Phone: 678-679-1261 Fax: 678-250-9010 |