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Individual
TRACY LYNN CHUCK
Active
Individual
TRACY LYNN CHUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT26794
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PT267940
MEDICARE PTAN
CA
01
—
P00174988
MEDICARE RAILROAD
CA
Enumeration date
12/01/2005
Last updated
09/17/2009
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