TRACEY WALLACE

CANANDAIGUA, NY
NPI1770638165
Former NameTRACEY ERIN O'DONNELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NY  018323)
Enumeration Date2007-01-24
Last Update Date2014-01-22
Business Address
-- TRACEY WALLACE OT
5415 N BLOOMFIELD RD
CANANDAIGUA, NY 14424-7964
Phone number: 585-394-9510
Mailing Address
-- TRACEY WALLACE OT
5415 N BLOOMFIELD RD
CANANDAIGUA, NY 14424-7964
Phone number: 585-394-9510
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