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

Individual provider Occupational Therapy Assistant · NPI 1659912756

Fallon Wallace, COTA is an Occupational Therapy Assistant in Hayward, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
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

22822 Myrtle St
Hayward, CA 94541-6321
Phone: (510) 537-4844
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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 OTA4830 (CA)

Record details

NPI number1659912756
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedOctober 1, 2019
Last updated in NPPESOctober 1, 2019
Mailing address342 Lynda Ln, Lexington, NC 27295-7948

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