Individual
MRS. TRACI MARIE HARTRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10354 PRAIRIE DELL RD, SHIPMAN, IL 62685-6105
(618) 836-7442
Mailing address
10354 PRAIRIE DELL RD, SHIPMAN, IL 62685-6105
(618) 836-7442
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056002189
IL
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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