Individual
MRS. TRACY JEAN SHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A
Contact information
Practice address
N27W5707 LINCOLN BLVD, CEDARBURG, WI 53012-2852
(262) 376-7676
Mailing address
806 W LA SALLE AVE, GLENDALE, WI 53209-4508
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1298-027
WI
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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