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Individual
MS. TRACEY B HELDENMUTH
Active
Individual
MS. TRACEY B HELDENMUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1763
FL
225X00000X
Occupational Therapist
OT #0001763
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8881757000
—
FL
01
—
Y902J
BLUECROSS BLUE SHIELD
FL
Enumeration date
05/08/2006
Last updated
09/03/2015
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