Tracy Dawn Wallace, MS, OTR/L
NPI #1437663986 in Sunnyvale, California
Provider Information
- NPI Number
- 1437663986
- Entity Type
- Individual
- Name
- Tracy Dawn Wallace, MS, OTR/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist - Pediatrics
- Credential
- MS, OTR/L
- Enumeration Date
- Nov 20, 2017
- Last Updated
- Nov 20, 2017
Practice Location
- Address
- 1290 LAWRENCE STATION RD
- City
- Sunnyvale
- State
- California
- ZIP Code
- 94089-2220
- Phone
- (408) 743-5332
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist - Pediatrics — Pediatrics |
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| MS. Tannia G Cisneros, OTR/L | |
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Organizations
| Provider Name | |
|---|---|
| Associated Learning and Language Specialists, Inc. |
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