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

Tracy Wall

Individual provider Occupational Therapy Assistant · NPI 1386128361

Tracy Wall is an Occupational Therapy Assistant in Phoenix, Arizona. Licensed in Missouri. Registered with an NPI since 2018.

Licensed in
MO
In the registry since
2018

Practice location Address checks out

7540 N 19th Ave
Phoenix, AZ 85021-7967
Phone: (888) 873-4221
Show map & directions

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 2012001565 (MO)

Record details

NPI number1386128361
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 17, 2018
Last updated in NPPESSeptember 17, 2018

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