Search › Missouri › 224Z00000X

Tamra Wallace, COTA/L

NPI 1720900343 · on the registry since 2026 · sole proprietor

Practice

Address
6665 Ike Dr
Barnhart, MO 63012
Phone
(314) 221-8052

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-27

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 Missouri