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Individual

TRACY TANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10099 RIDGEGATE PKWY STE 200, LONE TREE, CO 80124-5532
(720) 225-4466
Mailing address
10099 RIDGEGATE PKWY STE 200, LONE TREE, CO 80124-5532
(720) 225-4466

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
120005
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
120005
EXECUTIVE COUNCIL OF OT EXAMINERS
TX
Enumeration date
08/08/2019
Last updated
03/23/2026
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