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

Individual provider Pediatric Occupational Therapist · NPI 1437663986

Tracy Dawn Wallace, MS, OTR/L is a Pediatric Occupational Therapist in Sunnyvale, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
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

1290 Lawrence Station Rd
Sunnyvale, CA 94089-2220
Phone: (408) 743-5332
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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 8081 (CA)

Record details

NPI number1437663986
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , OTR/L
Sole proprietorNo
NPI enumeratedNovember 20, 2017
Last updated in NPPESNovember 20, 2017

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