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Individual

MRS. TRACY LEA GRAMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L, CHT

Contact information

Practice address
7320 216TH ST SW STE 320, EDMONDS, WA 98026-8006
(425) 673-3900
(425) 673-3910
Mailing address
7320 216TH ST SW STE 320, EDMONDS, WA 98026-8006
(425) 673-3900
(425) 673-3910

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00004260
WA
225XH1200X
Hand Occupational Therapist
OT00004260
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2122748
WA
01
338248
WA LABOR & INDUSTRIES
WA
Enumeration date
03/29/2007
Last updated
05/08/2024
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