Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Dana Jill Wallace, MS, OTR/L

Individual provider Occupational Therapist · NPI 1073730636

Mrs. Dana Jill Wallace, MS, OTR/L is an Occupational Therapist in Ashburn, Virginia. Licensed in Georgia and Virginia. Registered with an NPI since 2007.

Licensed in
GA, VA
In the registry since
2007
Specialties on file
3
What do these letters mean?
MS — Master of Science
A graduate science degree.
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

20925 Professional Plz Ste 300
Ashburn, VA 20147
Phone: (703) 544-7171
Fax: (703) 997-4450
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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 0119005354 (VA)
Occupational Therapist Taxonomy 225X00000X · Licence OT004212 (GA)
Hand Occupational Therapist Taxonomy 225XH1200X

Record details

NPI number1073730636
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , OTR/L
Sole proprietorNo
NPI enumeratedApril 18, 2007
Last updated in NPPESAugust 1, 2023
Certification dateAugust 1, 2023

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