Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nancy Ann Wallace, COTA

Individual provider Occupational Therapy Assistant · NPI 1669717211

Nancy Ann Wallace, COTA is an Occupational Therapy Assistant in Paragould, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2012
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

2909 Friendship Rd
Paragould, AR 72450-7548
Phone: (601) 624-2618
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OT1220 (AR)

Record details

NPI number1669717211
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorYes
NPI enumeratedDecember 10, 2012
Last updated in NPPESDecember 10, 2012

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