Search › California › 224Z00000X
Fallon Wallace, COTA
NPI 1659912756 · on the registry since 2019
Practice
- Address
- 22822 Myrtle St
Hayward, CA 94541 - Phone
- (510) 537-4844
- Organisation at this address
- Serenethos Care Center, Llc
St. Christopher Convalescent Hospital, Inc.Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-10-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California