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

Sara Wallace, MS, OTR/L

Individual provider Pediatric Occupational Therapist · NPI 1982569208

Sara Wallace, MS, OTR/L is a Pediatric Occupational Therapist in Glendora, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
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

121 Roundup Rd
Glendora, CA 91741-3841
Phone: (626) 502-7645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 22690 (CA)

Record details

NPI number1982569208
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , OTR/L
Sole proprietorNo
NPI enumeratedDecember 18, 2025
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025

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