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

Diana Wallace, OT

Individual provider Occupational Therapist · NPI 1669859849

Diana Wallace, OT is an Occupational Therapist in Renton, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2015
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

1207 N 33rd St
Renton, WA 98056-1943
Phone: (425) 255-5465
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT 00001911 (WA)

Record details

NPI number1669859849
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorYes
NPI enumeratedApril 27, 2015
Last updated in NPPESApril 27, 2015
Mailing address1207 N 33rd St, Renton, WA 98056-1943

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