Individual
TRACY MARIE WUSSOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
1880 GENERAL GEORGE PATTON DR, SUITE 202B, FRANKLIN, TN 37067-6409
(615) 377-1623
Mailing address
2141 SHARONDALE DR, NASHVILLE, TN 37215-1232
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5209
TN
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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