Individual
MRS. TRACEY LYNN MINKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1031 SEMINOLE DR, FORT LAUDERDALE, FL 33304-3243
(954) 780-5627
Mailing address
1110 SE 5TH CT, FT LAUDERDALE, FL 33301-3006
(954) 695-2950
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
7532
FL
Other
Enumeration date
12/13/2020
Last updated
12/13/2020
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