Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FALLON WALLACE, COTA
ActiveFALLON WALLACE, COTA is a Occupational Therapy Assistant healthcare provider located in HAYWARD, California. NPI 1659912756 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · HAYWARD, CA
Registration Details
- NPI Number
- 1659912756
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 1, 2019 (6.838075055265 yrs)
- Last Updated
- Oct 1, 2019
- License
-
OTA4830 (CA)
Practice Information
- Address
-
22822 MYRTLE STHAYWARD, CA, 945416321Browse CA providers · Browse ZIP 94541
- Phone
- 5105374844
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in HAYWARD, CA
| Name | Credential | NPI |
|---|---|---|
| SHANNON MCCLURE OSBORNE | — | 1972993863 |
| NICOLE JOED SANTIAGO DE JESUS | COTA/L | 1083134217 |
| WESLEY YUEN-FU HO | — | 1245754571 |
| PETERFRUTTS ALDANA | COTA/L | 1598366023 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.