Individual
MRS. REBECCA TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED., CCC/SLP
Contact information
Practice address
5 OAK HILL LN, BLUFFTON, SC 29910-6121
(843) 816-5140
Mailing address
5 OAK HILL LN, BLUFFTON, SC 29910-6121
(843) 816-5140
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
357
SC
Other
Enumeration date
09/27/2015
Last updated
09/27/2015
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