Individual
MRS. KRISTA TRACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 N ANDERSON AVE, WARWICK, RI 02888-4423
(401) 490-0236
Mailing address
9 N ANDERSON AVE, WARWICK, RI 02888-4423
(401) 490-0236
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3649
MA
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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