Individual
TRACI BARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1901 SW H K DODGEN LOOP, TEMPLE, TX 76502-1814
(254) 724-2111
Mailing address
PO BOX 847556, DALLAS, TX 75284-7556
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
111219
TX
Other
Enumeration date
09/24/2008
Last updated
01/16/2012
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