Individual
TRACY SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1722 1ST AVE, SCOTTSBLUFF, NE 69361-2401
(308) 635-6266
Mailing address
1722 1ST AVE, SCOTTSBLUFF, NE 69361-2401
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
891
NE
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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