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

Tracey Wallace, OT

Individual provider Occupational Therapist · NPI 1770638165

Tracey Wallace, OT is an Occupational Therapist in Canandaigua, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

See every abbreviation used in this directory →

Practice location Address checks out

5415 N Bloomfield Rd
Canandaigua, NY 14424-7964
Phone: (585) 394-9510
Fax: (585) 394-5326
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 018323 (NY)

Record details

NPI number1770638165
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedJanuary 24, 2007
Last updated in NPPESJanuary 22, 2014
Mailing address5415 N Bloomfield Rd, Canandaigua, NY 14424-7964

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