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Individual
DR. TRACY C BALANGUE
Active
Individual
DR. TRACY C BALANGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L, CHT
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT 6188
CA
Other
Enumeration date
09/14/2006
Last updated
11/10/2022
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