Individual
MS. TRACEY EDNA CARRIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1630 E REELFOOT AVE, UNION CITY, TN 38261-6021
(731) 885-8095
Mailing address
1720 STONE ST, B22, UNION CITY, TN 38261-6034
(731) 885-8095
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4670
TN
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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