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Individual
MRS. TRACY PAMELA GARRETT
Active
Individual
MRS. TRACY PAMELA GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 5565
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
810591000
—
FL
05
—
888749700
—
FL
Enumeration date
08/23/2005
Last updated
08/27/2008
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