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Organization
NATURAL THERAPY GROUP, LLC
Active
Organization
NATURAL THERAPY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY RENNA OTR (OWNER)
(352) 502-6513
Entity
Organization
Contact information
Practice address
4904 NE 123RD LN, OXFORD, FL 34484-9630
(352) 502-6513
Mailing address
4904 NE 123RD LN, OXFORD, FL 34484-9630
(352) 502-6513
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285960229
—
NY
Enumeration date
11/04/2018
Last updated
11/04/2018
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