Individual
TRACY STRACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
459 APPIAN AVE, VIRGINIA BEACH, VA 23452-5332
(757) 631-8476
Mailing address
459 APPIAN AVE, VIRGINIA BEACH, VA 23452-5332
(757) 631-8476
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306000417
VA
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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