Individual
KRISTIN TRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 N SHENANDOAH AVE, FRONT ROYAL, VA 22630-3547
(540) 520-9411
Mailing address
127 AUDREY LN, INWOOD, WV 25428-3643
(304) 839-7588
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306605492
VA
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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