Tracey Wallace is a Canandaigua, New York based therapist who is specialized in Occupational Therapy. Active license number of Tracey Wallace is 018323 for Occupational Therapy in New York. Her current practice location is 5415 N Bloomfield Rd, Canandaigua. Patients can reach her at 585-394-9510 or can fax her at 585-394-5326. Tracey Wallace is OT in Occupational Therapy and her NPI number (Unique professional ID assigned by NPPES) is 1770638165.
Tracey Wallace provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction.
Complete Profile:
Tracey Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Tracey Wallace |
| Specialization: | Occupational Therapy |
| Gender: | Female |
| Credentials: | OT |
| Practice Address: | 5415 N Bloomfield Rd, Canandaigua,
New York, 14424-7964 |
| Phone: | 585-394-9510 |
| Fax: | 585-394-5326 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1770638165 |
| NPI Enumeration Date: | 24 Jan, 2007 |
| NPI Last Update On: | 22 Jan, 2014 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tracey Wallace are as mentioned below.
| License Number | Specialization | State | Status | |
| 018323 | Occupational Therapy | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Tracey Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 23389338 | Medicaid | New Mexico | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Tracey Wallace
5415 N Bloomfield Rd,
Canandaigua, New York |
| Zip: | 14424-7964 |
| Phone Number: | 585-394-9510 |
| Fax Number: | 585-394-5326 |
Patients can reach Tracey Wallace at
5415 N Bloomfield Rd, Canandaigua, New York or can
call to book an appointment on 585-394-9510.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.