Individual
TRACY CHAPPELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2410 STONEY RUN TRL, BROADVIEW HEIGHTS, OH 44147-2559
(440) 610-1584
Mailing address
2410 STONEY RUN TRL, BROADVIEW HEIGHTS, OH 44147-2559
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3886
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3886
NEW MEXICO OCCUPATIONAL THERAPY LICENASE
OH
Enumeration date
04/12/2017
Last updated
04/12/2017
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