Individual provider · Type 1 NPI

Tracey Wallace, OT

Occupational Therapist · Canandaigua, NY

NPI number 1770638165 Active

Practice location

5415 N Bloomfield Rd
Canandaigua, NY 14424-7964

Call (585) 394-9510 Map

Fax (585) 394-5326

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X018323 (NY)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1770638165

Tracey Wallace, OT's National Provider Identifier is 1770638165, issued on Jan 24, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Canandaigua, NY. The record was last updated on Jan 22, 2014.