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

Individual provider Occupational Therapy Assistant · NPI 1033585104

Shauna Wallace, OTD, OTR/L is an Occupational Therapy Assistant in Hayward, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2015
Specialties on file
2
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.
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

10320 N Greenwood Ln
Hayward, WI 54843-7167
Phone: (715) 634-2619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1280 Chandler Dr, Spooner, WI 54801-2202 — (715) 635-2111

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 6369-26 (WI)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 4861-27 (WI)

Record details

NPI number1033585104
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD , OTR/L
Sole proprietorNo
NPI enumeratedAugust 12, 2015
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026

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