Individual
TRACIE IRLBECK BARLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
402 10TH ST SE, SUITE 700, CEDAR RAPIDS, IA 52403-2403
(319) 365-9439
(319) 365-9368
Mailing address
205 W WACKER DR, SUITE 1020, CHICAGO, IL 60606-1216
(312) 640-0329
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT01400
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26682
WELLMARK BLUE CROSS BLUE
IA
01
—
F232320
MIDLANDS CHOICE PROVIDER
—
Enumeration date
01/31/2007
Last updated
11/26/2008
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