Individual
TRACEY L CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
800 FORDING ISLAND RD, BLUFFTON, SC 29910-4845
(843) 815-2555
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1735
SC
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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