P Praxis·MD
● Active Type 1 · Individual

Julia Danielle Wallace, OTR/L

Occupational Therapist·Lawrenceville, GA· NPI 1366105892 · Enumerated 2021 · 4 years on NPI
Wallace is 1 of 1 occupational therapist providers in Lawrenceville and 1 of 12 in Georgia.
NPI age
4 years
Enumerated 2021-10-21
Primary specialty
Occupational Therapist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-10-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 12 active occupational therapist providers in Georgia.

NPI age
4 years
↓ 7 yr below median (11 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-10Enumerated in NPPES
2021 2026

Where they practice

Practice location
1860 Atkinson Rd
Lawrenceville, GA 300435065
📞 7069482773
Mailing address
110 Pearl St Se Apt 4
Atlanta, GA 303161266
📞 4043978655

Specialties

  • Occupational Therapist Primary
    Definition to come...
    GA license #OT008010 taxonomy 225XN1300X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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