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Individual

TRACEY LYNNE ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
371 BRANNON ROAD, BUILDING 663, SCHOFIELD BARRACKS, HI 96857
(512) 749-9807
Mailing address
1000 LOWELLA AVE, PEARL CITY, HI 96782-3460

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
261
HI

Other

Enumeration date
07/03/2017
Last updated
07/03/2017
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